# COMPLETE DIABETIC SYSTEMS INC

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

## Provider details

- **NPI number:** 1962476754
- **Authorized official:** MRS. CAROL PRIOR (PRESIDENT)
- **Authorized official phone:** (180) 098-5640

## Contact information

- **Practice address:** 18067 AVONSDALE CIR, PORT CHARLOTTE, FL 33948-9503
- **Practice address phone:** (180) 098-5640
- **Practice address fax:** (941) 629-2470
- **Mailing address:** 18067 AVONSDALE CIR, PORT CHARLOTTE, FL 33948-9503
- **Mailing address phone:** (180) 098-5640
- **Mailing address fax:** (941) 629-2470

## Taxonomy

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

## Other

- **Enumeration date:** 02/16/2006
- **Last updated:** 08/22/2020
