Organization
DIABETIC SOLES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J ROBICHAUD (CEO)
(678) 919-9128
Entity
Organization
Contact information
Practice address
2959 CHEROKEE ST NW STE 103D, KENNESAW, GA 30144-6522
(789) 199-1286
(888) 495-8205
Mailing address
13910 LYNMAR BLVD, TAMPA, FL 33626-3123
(678) 919-9128
(888) 495-8205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/28/2007
Last updated
01/12/2024
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