# DIASUPPLY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225360365
- **Authorized official:** DOUGLAS A HAUCK (OWNER)
- **Authorized official phone:** (561) 733-6660

## Contact information

- **Practice address:** 639 E OCEAN AVE, SUITE 301, BOYNTON BEACH, FL 33435-5011
- **Practice address phone:** (561) 733-6660
- **Practice address fax:** (866) 769-9294
- **Mailing address:** 639 E OCEAN AVE, SUITE 301, BOYNTON BEACH, FL 33435-5011
- **Mailing address phone:** (561) 733-6660
- **Mailing address fax:** (866) 769-9294

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2010
- **Last updated:** 01/30/2010
