NPI 1003424888
Grace Med Supply INC
Practice location
- Address
- 5701 NW 88th Ave STE 260a, Tamarac, FL 33321-4440
- Phone
- (954) 366-5453
Authorised official
- Name
- Andres Maldonado
- Title
- Owner
- Phone
- (954) 366-5453
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1003424888
- Entity type
- Organization
- NPI issued
- 17 Jul 2020
- Record last updated
- 17 Jul 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.