Organization
G & R SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODALYS GOMEZ (PRESIDENT)
(954) 406-7338
Entity
Organization
Contact information
Practice address
4200 NW 16TH ST STE 205, LAUDERHILL, FL 33313-5835
(954) 406-7338
(954) 406-7319
Mailing address
4200 NW 16TH ST STE 205, LAUDERHILL, FL 33313-5835
(954) 406-7338
(954) 406-7319
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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