Diabetic Services & Supplies INC
NPI #1982765095 in Saint Johns, Florida
Provider Information
- NPI Number
- 1982765095
- Entity Type
- Organization
- Organization Name
- Diabetic Services & Supplies INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Dec 28, 2010
Practice Location
- Address
- 109 CARDEN PL
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259-7217
- Phone
- (904) 230-7667
Authorized Official
- Name
- MR. MARK BLAKER, C-PED
- Title
- PRESIDENT
- Phone
- (904) 230-7667
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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