ALTAGRACE MEDICAL SUPPLIES INC (NPI# 1699397075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699397075 |
| Entity Type | Organization |
| Organization Name | ALTAGRACE MEDICAL SUPPLIES INC |
| Practice Address |
1915 Ne 45th St Ste 109 Fort Lauderdale FL 33308-5118 |
| Practice Telephone | 5615728155 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-07-03 |
| Authorized Official Name | JACCIN JEAN-BAPTISTE (PRESIDENT) |
| Authorized Official Telephone | 7547797210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1915 NE 45TH ST STE 109 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-5118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566520 | Chris Cruz | Durable Medical Equipment & Medical Supplies | 2821 E Commercial Blvd Ste 205, Fort Lauderdale, FL 33308-4216 | 2020-10-21 |
| 1811504939 | Associated Benefits Care Group Inc. | Durable Medical Equipment & Medical Supplies | 1995 E Oakland Park Blvd Ste 105, Fort Lauderdale, FL 33306-1113 | 2020-09-24 |
| 1245843309 | Ocean View Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1975 E Sunrise Blvd Ste 502, Fort Lauderdale, FL 33304-1408 | 2020-08-28 |
| 1740893809 | Rangers Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1975 E Sunrise Blvd Ste 525, Fort Lauderdale, FL 33304-1409 | 2020-08-28 |
| 1730791989 | National Medical Depot LLC | Durable Medical Equipment & Medical Supplies | 1975 E Sunrise Blvd Ste 812, Fort Lauderdale, FL 33304-1455 | 2020-08-19 |
| 1043828254 | Pelsha Darius | Durable Medical Equipment & Medical Supplies | 1975 E Sunrise Blvd Ste 501, Fort Lauderdale, FL 33304-1410 | 2020-07-14 |
| 1932726189 | Coast 2 Coast Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1975 E Sunrise Blvd Ste 609, Fort Lauderdale, FL 33304-1453 | 2020-07-02 |
| 1821615071 | South Shore Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1975 E Sunrise Blvd Ste 624, Fort Lauderdale, FL 33304-1453 | 2020-07-02 |
| 1962029215 | North Shore Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1975 E Sunrise Blvd Ste 628, Fort Lauderdale, FL 33304-1442 | 2020-07-02 |
| 1639790819 | Gsl of Florida, Inc. | Durable Medical Equipment & Medical Supplies | 1920 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1104 | 2020-04-29 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
Please comment or provide details below to improve the information on ALTAGRACE MEDICAL SUPPLIES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.