Organization
CERTIFIED DIABETIC SUPPLIES, INC
Active
Parent organization
CERTIFIED DIABETIC SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CERTIFIED DIABETIC SERVICES, INC.
Authorized official
MR. LOWELL M. FISHER JR. (CHAIRMAN & CEO)
(239) 430-5000
Entity
Organization
Contact information
Practice address
10061 AMBERWOOD RD, FORT MYERS, FL 33913-8502
(239) 430-5000
(800) 529-0543
Mailing address
10061 AMBERWOOD RD, FORT MYERS, FL 33913-8502
(239) 430-5000
(800) 529-0543
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
F97000004927
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951571200
—
FL
Enumeration date
06/19/2006
Last updated
02/20/2009
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