# DIABETIC SUPPLIES OF AMERICA, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DSA Medical Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184763831
- **Authorized official:** MR. WARNER D HAWLEY (PRESIDENT)
- **Authorized official phone:** (800) 555-2561

## Contact information

- **Practice address:** 802 OLD DIXIE HWY, SUITE 3, LAKE PARK, FL 33403-2361
- **Practice address phone:** (800) 555-2561
- **Practice address fax:** (561) 840-1042
- **Mailing address:** 802 OLD DIXIE HWY, SUITE 3, LAKE PARK, FL 33403-2361
- **Mailing address phone:** (800) 555-2561
- **Mailing address fax:** (561) 840-1042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | FL | Yes |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 07/21/2022