# AMERICAN DIABETIC SUPPLY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AMERICAN MEDCARE SUPPLY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679560999
- **Authorized official:** MR. RANDALL HELLE (PRESIDENT)
- **Authorized official phone:** (386) 677-1002

## Contact information

- **Practice address:** 400 S ATLANTIC AVE, SUITE 108, ORMOND BEACH, FL 32176-7146
- **Practice address phone:** (386) 677-1002
- **Practice address fax:** (386) 673-9421
- **Mailing address:** 400 S ATLANTIC AVE, SUITE 108, ORMOND BEACH, FL 32176-7146
- **Mailing address phone:** (386) 677-1002
- **Mailing address fax:** (386) 673-9421

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 02/10/2017