# DIABETIC MEDIC, INC

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

## Provider details

- **NPI number:** 1356867188
- **Authorized official:** MARIANNA SADIKYAN (COMPLIANCE OFFICER)
- **Authorized official phone:** (818) 517-8743

## Contact information

- **Practice address:** 2655 ULMERTON RD STE 415, CLEARWATER, FL 33762-3337
- **Practice address phone:** (818) 517-8743
- **Mailing address:** 20944 SHERMAN WAY STE 115, CANOGA PARK, CA 91303-3632

## Taxonomy

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

## Other

- **Enumeration date:** 08/14/2017
- **Last updated:** 08/14/2017