Organization
DIABETIC HEALTH SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN C REDAVID (PRESIDENT/CUSTOMER SERVICE MANAGER)
(239) 437-4004
Entity
Organization
Contact information
Practice address
9031 PITTSBURGH BLVD, FORT MYERS, FL 33967-7206
(239) 437-4004
(239) 437-4008
Mailing address
9031 PITTSBURGH BLVD, FORT MYERS, FL 33967-7206
(239) 437-4004
(239) 437-4008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5282130001
FL
Other
Enumeration date
06/02/2005
Last updated
08/22/2020
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