Organization
DIABETIC PLUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN BROSNICK (OWNER)
(954) 660-1401
Entity
Organization
Contact information
Practice address
777 SHOTGUN RD, BUILDING D BAY 4, SUNRISE, FL 33326-1940
(954) 660-1401
(954) 660-6186
Mailing address
777 SHOTGUN RD, BUILDING D BAY 4, SUNRISE, FL 33326-1940
(954) 660-1401
(954) 660-6186
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0613226
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9657
BLUECROSS BLUESHIELD
FL
Enumeration date
07/04/2006
Last updated
02/01/2008
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