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Organization
MEDICAL & DIABETIC SUPPLIES, INC.
Active
Organization
MEDICAL & DIABETIC SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA SUE PENCHANSKY (PRESIDENT)
(561) 745-9167
Entity
Organization
Contact information
Practice address
1829 PARK LN S, SUITE 2, JUPITER, FL 33458-8086
(561) 745-9167
(561) 747-4647
Mailing address
197 HAMPTON CIR, JUPITER, FL 33458-8145
(561) 745-9167
(561) 747-4647
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4560810001
FL
Other
Enumeration date
06/24/2006
Last updated
07/29/2008
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