# DIABETIC SUPPLY DISTRIBUTORS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1538330600
- **Authorized official:** MS. VIRGINIA ANN YORK (OWNER)
- **Authorized official phone:** (888) 369-7600

## Contact information

- **Practice address:** 18976 SE FEARNLEY DR, TEQUESTA, FL 33469-1622
- **Practice address phone:** (561) 744-1908
- **Mailing address:** 18976 SE FEARNLEY DR, TEQUESTA, FL 33469-1622
- **Mailing address phone:** (561) 744-1908

## Taxonomy

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

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 03/17/2008