Organization
ANGELA M ROQUE
Active
Other names
USA Diabetic Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA MATILDE ROQUE (OWNER)
(561) 362-7227
Entity
Organization
Contact information
Practice address
320 KNOB HILL BLVD, BOCA RATON, FL 33431-4646
(561) 362-7227
(561) 362-6959
Mailing address
320 KNOB HILL BLVD, BOCA RATON, FL 33431-4646
(561) 362-7227
(561) 362-6959
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2003-10159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009917475
—
AL
05
—
1569725-02
—
TX
05
—
773326
—
AZ
05
—
90006545
—
KY
Enumeration date
05/27/2005
Last updated
07/18/2008
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