Organization
DIABETIC SUPPLIES OF AMERICA, INC.
Active
Other names
DIABETIC SUPPLIES NOF THE PALM BEACHES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARNER DEAN HAWLEY (PRESIDENT)
(561) 840-1043
Entity
Organization
Contact information
Practice address
924 PARK AVE, LAKE PARK, FL 33403-2404
(800) 555-2561
(561) 840-1042
Mailing address
924 PARK AVE, LAKE PARK, FL 33403-2404
(800) 555-2561
(561) 840-1042
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R8243
BCBS- DME DIABETIC SUPPLI
FL
Enumeration date
09/26/2006
Last updated
08/22/2020
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