Organization
THE DIABETIC & MOBILITY STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA K LEE (PRESIDENT)
(727) 361-0103
Entity
Organization
Contact information
Practice address
CARR 111 KM 14.3, BO HATO ARRIBA #5, SAN SEBASTIAN, PR 00685
(787) 280-0039
(787) 280-0094
Mailing address
PO BOX 3517, HOLIDAY, FL 34692-0517
(727) 361-0103
(727) 937-7389
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
08/22/2020
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