Organization
DIABETIC SUPPLY FOUNDATION OF DELRAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM STEIN RAITHEL JR. (PRESIDENT)
(561) 367-4658
Entity
Organization
Contact information
Practice address
1261 SW 13TH ST, BOCA RATON, FL 33486-5307
(561) 367-4658
(561) 367-9913
Mailing address
7491 N FEDERAL HWY, C5 155, BOCA RATON, FL 33487-1625
(561) 367-4658
(561) 367-9913
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R8144
BLUE CROSS BLUE SHIELD OF
FL
Enumeration date
11/20/2006
Last updated
08/22/2020
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