Lake Diabetes Supply, Inc in Daytona Beach Shores - Durable Medical Equipment & Medical Supplies
Lake Diabetes Supply, Inc - NPI 1861487191
Lake Diabetes Supply, Inc is a Durable Medical Equipment & Medical Supplies in Daytona Beach Shores, Florida. Lake Diabetes Supply, Inc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Lake Diabetes Supply, Inc is 1861487191. The last update date is 2022-07-21.
Lake Diabetes Supply, Inc's current location address is 2555 S Atlantic Ave, Daytona Beach Shores, Florida. You can contact this provider via phone number 3863045941 and fax number 3863045941. The mailing address for Lake Diabetes Supply, Inc is 2555 S Atlantic Ave, Daytona Beach Shores, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Diabetes Supply, Inc |
|---|---|
| Address | 2555 S Atlantic Ave, Daytona Beach Shores, Florida |
| Phone Number | 3863045941 |
| Fax Number | 3863045941 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hartwell B Richard |
| Telephone Number | 3863045941 |
NPI Number Detail
| NPI Number | 1861487191 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2555 S Atlantic Ave |
|---|---|
| City | Daytona Beach Shores |
| State | Florida (FL) |
| Post Code | 321185546 |
| Phone Number | 3863045941 |
| Fax Number | 3863045941 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R9283 | FL | BCBS IDENTIFIER |
Post Comment/ Review Below
What is the Lake Diabetes Supply, Inc's 1861487191?
The Lake Diabetes Supply, Inc's NPI (National Provider Identifier) Number is 1861487191. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Lake Diabetes Supply, Inc is located?
The Lake Diabetes Supply, Inc is situated at the following address: 2555 S Atlantic Ave, Daytona Beach Shores, FL, 321185546.
What is Lake Diabetes Supply, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lake Diabetes Supply, Inc is Durable Medical Equipment & Medical Supplies, and the taxonomy classification code that categorizes this area of expertise is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861487191 to Lake Diabetes Supply, Inc?
The Lake Diabetes Supply, Inc received its 1861487191 assignment from the Centers for Medicare & Medicaid Services on 2005-09-13.
When was the information pertaining to Lake Diabetes Supply, Inc most recently updated or revised?
The details related to Lake Diabetes Supply, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.