Organization
A - Z DIABETES CARE CLUB LLC
Active
Other names
Diabetes Care Club
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER C. PETERS (SECRETARY)
(615) 815-3223
Entity
Organization
Contact information
Practice address
500 EAGLES LANDING DR, SUITE B, LAKELAND, FL 33810-2899
(863) 808-5691
(863) 808-5692
Mailing address
500 EAGLES LANDING DR, SUITE B, LAKELAND, FL 33810-2899
(863) 808-5691
(863) 808-5692
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/07/2012
Last updated
09/24/2013
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