# CERTIFIED DIABETIC SUPPLIES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CERTIFIED DIABETIC SERVICES, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093750218
- **Legal business name:** CERTIFIED DIABETIC SERVICES, INC.
- **Authorized official:** MR. LOWELL M. FISHER JR. (CHAIRMAN & CEO)
- **Authorized official phone:** (239) 430-5000

## Contact information

- **Practice address:** 10061 AMBERWOOD RD, FORT MYERS, FL 33913-8502
- **Practice address phone:** (239) 430-5000
- **Practice address fax:** (800) 529-0543
- **Mailing address:** 10061 AMBERWOOD RD, FORT MYERS, FL 33913-8502
- **Mailing address phone:** (239) 430-5000
- **Mailing address fax:** (800) 529-0543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | F97000004927 | FL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 02/20/2009