101 Diabetic Supplies, LLC
NPI #1003101296 in Titusville, Florida
Provider Information
- NPI Number
- 1003101296
- Entity Type
- Organization
- Organization Name
- 101 Diabetic Supplies, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 15, 2011
- Last Updated
- Aug 23, 2013
Practice Location
- Address
- 1400 WHITE DR STE B
- City
- Titusville
- State
- Florida
- ZIP Code
- 32780-9657
- Phone
- (321) 676-8989
Authorized Official
- Name
- MR. DALE GREYSLAK
- Title
- MANAGING MEMBER
- Phone
- (321) 267-7576
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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