Organization
DIABETIC SPECIALIST ONLY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W THAU (PRESIDENT)
(954) 481-8440
Entity
Organization
Contact information
Practice address
600 FAIRWAY DRIVE, STE 101, DEERFIELD BEACH, FL 33441-1806
(954) 481-8440
(954) 570-3496
Mailing address
600 FAIRWAY DRIVE, STE 101, DEERFIELD BEACH, FL 33441-1806
(954) 481-8440
(954) 570-3496
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
09/01/2010
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