Organization
AMERICAN DIABETIC SUPPLY, INC.
Active
Other names
AMERICAN MEDCARE SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL HELLE (PRESIDENT)
(386) 677-1002
Entity
Organization
Contact information
Practice address
400 S ATLANTIC AVE, SUITE 108, ORMOND BEACH, FL 32176-7146
(386) 677-1002
(386) 673-9421
Mailing address
400 S ATLANTIC AVE, SUITE 108, ORMOND BEACH, FL 32176-7146
(386) 677-1002
(386) 673-9421
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000S7538
—
NM
05
—
00768974A
—
GA
05
—
009705310
—
AL
05
—
010477001
—
TX
05
—
100297590A
—
KS
05
—
132357741
—
AR
05
—
1689645
—
LA
05
—
183900000
—
ME
05
—
200166480A
—
IN
05
—
74200500
—
MD
05
—
804289900
—
ID
Enumeration date
10/03/2005
Last updated
02/10/2017
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