101 Diabetic Supplies, Llc

NPI 1003101296 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1003101296
Enumeration Date 06/15/2011
Last Updated 08/23/2013
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DALE DALE
Position MANAGING MEMBER
Phone (321) 676-8989
Fax
Practice Location
1400 WHITE DR STE B
TITUSVILLE FL, 32780-9657, US
Phone (321) 676-8989
Fax
Business Location
1400 WHITE DR STE B
TITUSVILLE FL, 32780-9657, US
Phone (321) 676-8989
Fax
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, 101 Diabetic Supplies, Llc NPI is 1003101296, taxonomy code is 332B00000X 101 Diabetic Supplies, Llc physically located at 1400 White Dr Ste B, Titusville FL, 32780-9657. NPI Number 1033115704 has the healthcare provider type.

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1003101296 NPI number is provided on an as is basis without warranty of any kind. 1003101296 is maintained by the National Plan & Provider Enumeration System. The contents of 101 Diabetic Supplies, Llc are for informational purposes only.