Provider Demographics
NPI:1073104113
Name:GC MED SUPPLIES LLC
Entity Type:Organization
Organization Name:GC MED SUPPLIES LLC
Other - Org Name:GC MED SUPPLIES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MGR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAHOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-344-1443
Mailing Address - Street 1:500 S AUSTRALIAN AVE STE 603
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6237
Mailing Address - Country:US
Mailing Address - Phone:888-344-1443
Mailing Address - Fax:
Practice Address - Street 1:500 S AUSTRALIAN AVE STE 603
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6237
Practice Address - Country:US
Practice Address - Phone:888-344-1443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies