Lake Diabetes Supply, INC
NPI #1861487191 in Daytona Beach Shores, Florida
Provider Information
- NPI Number
- 1861487191
- Entity Type
- Organization
- Organization Name
- Lake Diabetes Supply, INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 13, 2005
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 2555 S ATLANTIC AVE
- Address 2
- SUITE 1205
- State
- Florida
- ZIP Code
- 32118-5546
- Phone
- (386) 304-5941
Authorized Official
- Name
- MR. RICHARD B HARTWELL
- Title
- PRESIDENT
- Phone
- (386) 304-5941
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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