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Organization
SMART DIABETES SUPPLY LLC
Active
Organization
SMART DIABETES SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT JONATHAN VAZ (OWNER)
(954) 558-0922
Entity
Organization
Contact information
Practice address
1881 NE 26TH ST STE 238, WILTON MANORS, FL 33305-1426
(954) 790-6980
(954) 790-6980
Mailing address
1881 NE 26TH ST STE 238, WILTON MANORS, FL 33305-1426
(954) 790-6980
(954) 790-6980
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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