# DOCTOR DIABETIC SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BrightSky
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134230121
- **Authorized official:** MR. TIMOTHY J. HARGARTEN (CEO)
- **Authorized official phone:** (800) 852-1652

## Contact information

- **Practice address:** 3660 ENTERPRISE WAY, MIRAMAR, FL 33025-6616
- **Practice address phone:** (800) 852-1652
- **Practice address fax:** (305) 576-4972
- **Mailing address:** 3660 ENTERPRISE WAY, MIRAMAR, FL 33025-6616
- **Mailing address phone:** (800) 852-1652
- **Mailing address fax:** (305) 576-4972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1592240002 | FL | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 10/08/2011