Organization
AMERICAN DIABETES WHOLESALE LLC
Active
Parent organization
AMERICAN DIABETES WHOLESALE LLC
Other names
Advanced Nutrition and Diabetes Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN DIABETES WHOLESALE LLC
Authorized official
MR. CHRIS MAGUIRE (VICE PRES)
(877) 241-9002
Entity
Organization
Contact information
Practice address
2501 NW 34TH PL, STE 35, POMPANO BEACH, FL 33069-5928
(877) 241-9002
(866) 995-4820
Mailing address
2501 NW 34TH PL, STE 35, POMPANO BEACH, FL 33069-5928
(877) 241-9002
(866) 995-4820
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
332B00000X
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285821264
DME
FL
Enumeration date
10/06/2008
Last updated
07/21/2022
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