# DIABETIC SUPPLY FOUNDATION OF FT MYERS

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

## Provider details

- **NPI number:** 1598862245
- **Authorized official:** MS. YVONNE TANENBAUM (PRESIDENT)
- **Authorized official phone:** (800) 238-8944

## Contact information

- **Practice address:** 205 JOEL BLVD, SUITE 202, LEHIGH ACRES, FL 33972-0201
- **Practice address phone:** (239) 848-6696
- **Mailing address:** 205 JOEL BLVD, SUITE 202, LEHIGH ACRES, FL 33972-0201
- **Mailing address phone:** (239) 848-6696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 032752 | FL | Yes |

## Other

- **Enumeration date:** 09/17/2006
- **Last updated:** 08/22/2020