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Organization
DIABETES SUPPLY PROGRAM,INC.
Active
Organization
DIABETES SUPPLY PROGRAM,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SETH R WHITE (VICE PRESIDENT)
(904) 367-1694
Entity
Organization
Contact information
Practice address
5121 BOWDEN RD, SUITE 309, JACKSONVILLE, FL 32216-5961
(904) 367-1694
(904) 367-8299
Mailing address
5121 BOWDEN RD, SUITE 309, JACKSONVILLE, FL 32216-5961
(904) 367-1694
(904) 367-8299
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
07/19/2006
Last updated
09/15/2008
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