Organization
MYLIFE DIABETES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFONSO MARTINEZ (PRESIDENT)
(646) 872-5843
Entity
Organization
Contact information
Practice address
3751 SORREL VINE DR, WESLEY CHAPEL, FL 33544-7325
(646) 872-5843
Mailing address
3751 SORREL VINE DR, WESLEY CHAPEL, FL 33544-7325
(646) 872-5843
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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