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NPI Code Detail

MEDICARE: GISELLE MEDICAL SUPPLIES INC

MEDICARE: GISELLE MEDICAL SUPPLIES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001250OTHERFLEPA ACCREDITATION
232 4397OTHERFLOXYGEN LICENSE
3307OTHERFLAHCA LICENSE

General Provider Information

NPI Number : 1447291281
Entity Type Code : Organization
Provider Name (Legal Business Name) : GISELLE MEDICAL SUPPLIES INC
Provider Business Mailing Address
First Line : 13275 SW 136TH ST
Second Line : UNIT # 13
City : MIAMI
State : FL
Zip : 33186-5825
Country : US
Telephone Number : 305-667-1215
Fax Number :
Provider Business Practice Location Address
First Line : 13275 SW 136TH ST UNIT 13
Second Line :
City : MIAMI
State : FL
Zip : 33186-5825
Country : US
Telephone Number : 305-667-1215
Fax Number : 305-667-1249
Authorized Official
Title or Position : PRESIDENT
Name : MR. NESTOR V GODOY
Credential :
Telephone Number : 305-667-1215
Provider Enumeration Date : 06/10/2006
Last Update Date : 01/07/2008

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Directions to “GISELLE MEDICAL SUPPLIES INC ” Practice Location

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