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Organization

DOCTOR DIABETIC SUPPLY LLC

Active
Other names
BrightSky
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY J. HARGARTEN (CEO)
(800) 852-1652
Entity
Organization

Contact information

Practice address
3660 ENTERPRISE WAY, MIRAMAR, FL 33025-6616
(800) 852-1652
(305) 576-4972
Mailing address
3660 ENTERPRISE WAY, MIRAMAR, FL 33025-6616
(800) 852-1652
(305) 576-4972

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1592240002
FL

Other

Enumeration date
08/31/2006
Last updated
10/08/2011
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