# PREMIER DIABETIC SUPPLY INC.

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

## Provider details

- **NPI number:** 1649403064
- **Authorized official:** CARLOS ELISEO (PRINCIPAL)
- **Authorized official phone:** (561) 252-1552

## Contact information

- **Practice address:** 1001 N US HIGHWAY 1 STE 402, JUPITER, FL 33477-4406
- **Practice address phone:** (561) 746-1484
- **Mailing address:** 1001 N US HIGHWAY 1 STE 402, JUPITER, FL 33477-4406
- **Mailing address phone:** (561) 746-1484

## Taxonomy

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

## Other

- **Enumeration date:** 09/02/2009
- **Last updated:** 09/02/2009