Organization
PINE ISLAND DIABETIC SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA ANN COBEY (PRESIDENT)
(239) 931-3131
Entity
Organization
Contact information
Practice address
1400 COLONIAL BLVD, SUITE 84, FORT MYERS, FL 33907-1055
(239) 931-3131
(239) 931-3133
Mailing address
1400 COLONIAL BLVD, SUITE 84, FORT MYERS, FL 33907-1055
(239) 931-3131
(239) 931-3133
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031381500
—
FL
Enumeration date
08/17/2006
Last updated
08/07/2008
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