Organization
DIABETES SUPPLY PROGRAM,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SETH R WHITE (VICE PRESIDENT)
(904) 367-1694
Entity
Organization
Contact information
Practice address
5121 BOWDEN RD, SUITE 309, JACKSONVILLE, FL 32216-5961
(904) 367-1694
(904) 367-8299
Mailing address
5121 BOWDEN RD, SUITE 309, JACKSONVILLE, FL 32216-5961
(904) 367-1694
(904) 367-8299
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032429900
—
FL
05
—
116778797A
—
GA
Enumeration date
07/19/2006
Last updated
09/15/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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