# DIABETIC SUPPLY WELLNESS TEAM

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

## Provider details

- **NPI number:** 1790708923
- **Authorized official:** MRS. CANDY DENICE BIEDERMAN (BILLING MANAGER)
- **Authorized official phone:** (561) 266-9575

## Contact information

- **Practice address:** 75 NE 6TH AVE, STE 219, DELRAY BEACH, FL 33483-3471
- **Practice address phone:** (561) 266-9575
- **Practice address fax:** (561) 266-9577
- **Mailing address:** 75 NE 6TH AVE, STE 219, DELRAY BEACH, FL 33483-3471
- **Mailing address phone:** (561) 266-9575
- **Mailing address fax:** (561) 266-9577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0600037 | FL | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 08/22/2020
