# AMERICAN DIABETES WHOLESALE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMERICAN DIABETES WHOLESALE LLC
- **Other names:** Advanced Nutrition and Diabetes Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619128899
- **Legal business name:** AMERICAN DIABETES WHOLESALE LLC
- **Authorized official:** MR. CHRIS MAGUIRE (VICE PRES)
- **Authorized official phone:** (877) 241-9002

## Contact information

- **Practice address:** 2501 NW 34TH PL, STE 35, POMPANO BEACH, FL 33069-5928
- **Practice address phone:** (877) 241-9002
- **Practice address fax:** (866) 995-4820
- **Mailing address:** 2501 NW 34TH PL, STE 35, POMPANO BEACH, FL 33069-5928
- **Mailing address phone:** (877) 241-9002
- **Mailing address fax:** (866) 995-4820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | 332B00000X | FL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | FL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | FL | — |

## Other

- **Enumeration date:** 10/06/2008
- **Last updated:** 07/21/2022