# DIABETIC HEALTHLINK, LLC

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

## Provider details

- **NPI number:** 1376776724
- **Authorized official:** MR. MICHAEL SOWARDS (MANAGING MEMBER)
- **Authorized official phone:** (855) 405-7853

## Contact information

- **Practice address:** 1410 WHITE DR, STE D, TITUSVILLE, FL 32780-9657
- **Practice address phone:** (855) 405-7853
- **Practice address fax:** (877) 544-2162
- **Mailing address:** 1410 WHITE DR, STE D, TITUSVILLE, FL 32780-9657
- **Mailing address phone:** (855) 405-7853
- **Mailing address fax:** (877) 544-2162

## Taxonomy

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

## Other

- **Enumeration date:** 09/02/2009
- **Last updated:** 08/27/2013