G5 Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

G5 MEDICAL SUPPLY LLC

Practice address

77 NE 3Rd Ave
Deerfield Beach, FL 33441-3526

Phone

(954) 906-5223

NPI assigned

Apr 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christian Garguilo

Title

Member Manager

Phone

(954) 906-5223

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1174186993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NE 3RD AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413526",
            "telephone_number": "954-906-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NE 3RD AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413526",
            "telephone_number": "954-906-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G5 MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "GARGUILO",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "954-906-5223"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.