Organization
MEDCARE DIABETIC SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE MCVEIGH (GENERAL MANAGER-MGR.MEMBER)
(386) 206-4844
Entity
Organization
Contact information
Practice address
29 ENTERPRISE DR, SUITE B, BUNNELL, FL 32110-4302
(386) 206-4844
(386) 206-4413
Mailing address
29 ENTERPRISE DR, SUITE B, BUNNELL, FL 32110-4302
(386) 206-4844
(386) 206-4413
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312982
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031790000
—
FL
Enumeration date
02/14/2007
Last updated
07/28/2010
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