Provider Demographics
NPI:1104431717
Name:MEDICAL FITS LLC
Entity type:Organization
Organization Name:MEDICAL FITS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRAVINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-714-0616
Mailing Address - Street 1:7401 WILES RD STE 138
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2038
Mailing Address - Country:US
Mailing Address - Phone:754-229-6231
Mailing Address - Fax:
Practice Address - Street 1:7401 WILES RD STE 138
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-2038
Practice Address - Country:US
Practice Address - Phone:754-229-6231
Practice Address - Fax:888-638-1663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies