Organization
DIABETIC ASSISTANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS BRANDON GRANGER (OWNER)
(954) 639-3125
Entity
Organization
Contact information
Practice address
3215 SW 52ND AVE, PEMBROKE PARK, FL 33023-2380
(954) 639-3125
Mailing address
3215 SW 52ND AVE, UNIT 47, PEMBROKE PARK, FL 33023-2380
(954) 639-3125
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
08/02/2011
Last updated
09/27/2011
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