Diabetic Shoe Source Inc.

NPI #1881056836 in Debary, Florida

Provider Information

NPI Number
1881056836
Entity Type
Organization
Organization Name
Diabetic Shoe Source Inc.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 28, 2016
Last Updated
Mar 28, 2016

Practice Location

Address
156 S CHARLES RICHARD BEALL BLVD
Address 2
SUITE 3
City
Debary
State
Florida
ZIP Code
32713-3273
Phone
(407) 323-5093

Authorized Official

Name
ANTHONY H RIVERA, C. PED
Title
PRESIDENT
Phone
(407) 323-5093

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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