Individual ProviderAntonio GoseDurable Medical Equipment & Medical SuppliesSuppliersPractice Address275 Fontainebleau Blvd Ste 152, Miami, FL 33172-4501(305) 480-4091PECOS EnrollmentBased on the most recent information from CMS, provider Antonio Gose does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1578584785Provider TypeIndividualFull NameGose, AntonioTitleMr.GenderMaleSole ProprietorYesEnumeration Date7/22/2006Last Updated7/9/2007Contact InformationPractice LocationPractice Address275 Fontainebleau Blvd Ste 152, Miami, FL 33172-4501Phone(305) 480-4091Fax(305) 480-4061Mailing LocationMailing Address275 Fontainebleau Blvd Ste 152, Miami, FL 33172-4501Phone(305) 480-4091Fax(305) 480-4061Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicense1312944Florida