Organization · Type 2 NPI
Lake Diabetes Supply, Inc
Durable Medical Equipment & Medical Supplies · Daytona Beach Shores, FL
Practice location
2555 S Atlantic Ave, Suite 1205
Daytona Beach Shores, FL 32118-5546
Fax (386) 304-5941
Mailing address
508 N Harbor City Blvd
Melbourne, FL 32935-6838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
About NPI 1861487191
Lake Diabetes Supply, Inc's National Provider Identifier is 1861487191, issued on Sep 13, 2005. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Daytona Beach Shores, FL. The record was last updated on Jul 21, 2022.