MEDICARE: GRACO MEDICAL 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1538368790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACO MEDICAL INC

Provider Business Mailing Address
First Line	:	3618 W FLAGLER ST
Second Line	:	#2
City	:	MIAMI
State	:	FL
Zip	:	33135-1020
Country	:	US
Telephone Number	:	305-444-6777
Fax Number	:	305-444-6787

Provider Business Practice Location Address
First Line	:	3618 W FLAGLER ST
Second Line	:	#2
City	:	MIAMI
State	:	FL
Zip	:	33135-1020
Country	:	US
Telephone Number	:	305-444-6777
Fax Number	:	305-444-6787

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAYMIER SANABRIA
Credential	:
Telephone Number	:	305-444-6777

Provider Enumeration Date	:	07/17/2007
Last Update Date	:	01/29/2008

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Directions to “GRACO MEDICAL INC ” Practice Location

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