Organization
DIABETIC SERVICES & SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BLAKER C-PED (PRESIDENT)
(904) 230-7667
Entity
Organization
Contact information
Practice address
109 CARDEN PL, SAINT JOHNS, FL 32259-7217
(904) 230-7667
(866) 435-9440
Mailing address
109 CARDEN PL, SAINT JOHNS, FL 32259-7217
(904) 230-7667
(866) 435-9440
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
12/28/2010
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