# STAYWELL DIABETIC SUPPLIES

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

## Provider details

- **NPI number:** 1770521338
- **Authorized official:** MRS. SONIA M CANTELI (PRESIDENT)
- **Authorized official phone:** (786) 222-3549

## Contact information

- **Practice address:** 1325 NW 93RD CT, SUITE NUMBER B-103, DORAL, FL 33172-2857
- **Practice address phone:** (305) 436-8945
- **Practice address fax:** (305) 436-8946
- **Mailing address:** 1325 NW 93RD CT, SUITE NUMBER B-103, DORAL, FL 33172-2857
- **Mailing address phone:** (305) 436-8945
- **Mailing address fax:** (305) 436-8946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 603400-3 | FL | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 08/22/2020