# A - Z DIABETES CARE CLUB LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diabetes Care Club
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619226487
- **Authorized official:** MRS. JENNIFER C. PETERS (SECRETARY)
- **Authorized official phone:** (615) 815-3223

## Contact information

- **Practice address:** 500 EAGLES LANDING DR, SUITE B, LAKELAND, FL 33810-2899
- **Practice address phone:** (863) 808-5691
- **Practice address fax:** (863) 808-5692
- **Mailing address:** 500 EAGLES LANDING DR, SUITE B, LAKELAND, FL 33810-2899
- **Mailing address phone:** (863) 808-5691
- **Mailing address fax:** (863) 808-5692

## Taxonomy

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

## Other

- **Enumeration date:** 09/07/2012
- **Last updated:** 09/24/2013