GQ Medical Supplies Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1278 Issued in FL

Legal business name

GQ MEDICAL SUPPLIES INC.

Practice address

1250 W State Road 434
Suite 1000
Longwood, FL 32750-4969

Phone

(407) 830-0090

Fax

(407) 830-9413

NPI assigned

Dec 21, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Oyaghire Idehen, OTR/L

Title

President

Phone

(407) 830-0090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245216134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W STATE ROAD 434",
            "address_2": "SUITE 1000",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504969",
            "telephone_number": "407-830-0090",
            "fax_number": "407-830-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W STATE ROAD 434",
            "address_2": "SUITE 1000",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504969",
            "telephone_number": "407-830-0090",
            "fax_number": "407-830-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GQ MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IDEHEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "OYAGHIRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-830-0090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmin Dianaris Gonzalez
• Joanna Goodman
• Claire Gordijn, MS, RMHCI
• Yesenia Gorzon, LMT
• Morly Gourdet, BCBA
• Aliyah Grace
• Granny Nannies of North America LLC (Granny NANNIES)
• Kristin Rosemary Grant, LMHC
• Maya Elise Grant I
• Elaina Gray, MS

• Durable Medical Equipment & Medical Supplies in Longwood, FL
• Providers in Longwood, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.