Organization
DIRECT DIABETIC SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY R WASSERMAN (DIRECTOR)
(561) 251-6503
Entity
Organization
Contact information
Practice address
7040 W PALMETTO PARK RD, BLDG 4 SUITE 464, BOCA RATON, FL 33433-3407
(561) 251-6503
(561) 998-8807
Mailing address
7040 W PALMETTO PARK RD, BLDG 4 SUITE 464, BOCA RATON, FL 33433-3407
(561) 251-6503
(561) 998-8807
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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