Provider Demographics
NPI:1730224387
Name:GRG MEDICAL SUPPLIES INC
Entity type:Organization
Organization Name:GRG MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GRISEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TOUZET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-255-5737
Mailing Address - Street 1:12945 SW 132ND ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6297
Mailing Address - Country:US
Mailing Address - Phone:305-255-5737
Mailing Address - Fax:
Practice Address - Street 1:12945 SW 132ND ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6297
Practice Address - Country:US
Practice Address - Phone:305-255-5737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5922850001Medicare NSC