Organization
NEIGHBORHOOD DIABETES, INC.
Active
Parent organization
NEIGHBORHOOD HOLDINGS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEIGHBORHOOD HOLDINGS, INC.
Authorized official
JONATHAN BLACK (PRESIDENT)
(772) 398-2122
Entity
Organization
Contact information
Practice address
5976 HOFFNER AVENUE, SUITE 607, ORLANDO, FL 32822-4821
(866) 784-5647
(844) 363-4341
Mailing address
8881 S US HIGHWAY 1, ATTN: LICENSING DEPARTMENT, PORT ST LUCIE, FL 34952-3401
(772) 398-2122
(844) 363-4341
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031984800
—
FL
Enumeration date
08/06/2008
Last updated
07/29/2016
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