DOCTOR DIABETIC SUPPLY, LLC (Credential# 501777) is licensed (Wholesaler of Drugs, Cosmetics & Medical Devices) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2013. The license expiration date date is June 30, 2014. The license status is INACTIVE.
DOCTOR DIABETIC SUPPLY, LLC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSW.0002118. The credential type is wholesaler of drugs, cosmetics & medical devices. The effective date is July 1, 2013. The expiration date is June 30, 2014. The business address is 3660 Enterprise Way, Miramar, FL 33025. The current status is inactive.
| Licensee Name | DOCTOR DIABETIC SUPPLY, LLC |
| Business Name | DOCTOR DIABETIC SUPPLY, LLC |
| Credential ID | 501777 |
| Credential Number | CSW.0002118 |
| Credential Type | WHOLESALER OF DRUGS, COSMETICS & MEDICAL DEVICES |
| Business Address |
3660 Enterprise Way Miramar FL 33025 |
| Business Type | LIMITED LIABILITY COMPANY |
| Status | INACTIVE |
| Issue Date | 2008-05-30 |
| Effective Date | 2013-07-01 |
| Expiration Date | 2014-06-30 |
| Refresh Date | 2015-05-31 |
| Street Address | 3660 ENTERPRISE WAY |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33025 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Averyl Glenda Blake-fraites | 641 Sw 94th Terrace, Pembroke Pines, FL 33025 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Serena M Crosdale | 3050 E Missionwood Lane, Miramar, CT 33025 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Jonathan A Bray | 11553 Sw 26th Pl, Mirimar, FL 33025 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Dawn S Russell Md | 2360 E. Preserve Way, Miramar, FL 33025 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Prince Pierre | 3360 Kapot Terrace, Miramar, FL 33025 | Crane Operator Apprentice | 2012-04-18 ~ 2014-04-17 |
| Joshua P Powell | 1771 Sw 85th Terrace, Miramar, FL 33025 | Registered Nurse | 2016-02-01 ~ 2017-01-31 |
| Akosua A Freckleton | 8360 Missionwood Circle, Miramar, FL 33025 | Registered Nurse | 2014-06-01 ~ 2015-05-31 |
| Doreen C Smiley | 9611 North Hollybrook Lake Drive, Pembroke Pines, FL 33025 | Registered Nurse | 2012-09-01 ~ 2013-08-31 |
| Edith H Edwards | 9940 Sw 14 St, Pembroke Pines, FL 33025 | Registered Nurse | 1993-09-23 ~ 1994-10-31 |
| Anisa Ramji · Kemani | 8534 Sw 5th St, Pimbroke Pines, FL 33025 | Registered Nurse | 2005-02-22 ~ 2006-03-31 |
| Find all Licenses in zip 33025 | |||
| City | MIRAMAR |
| Zip Code | 33025 |
| License Type | WHOLESALER OF DRUGS, COSMETICS & MEDICAL DEVICES |
| License Type + County | WHOLESALER OF DRUGS, COSMETICS & MEDICAL DEVICES + MIRAMAR |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| A-1 Diabetic Supply Inc | 5121 Se 107th St, Belleview, FL 34420-3128 | Wholesaler of Drugs, Cosmetics & Medical Devices | ~ |
| Az Diabetic Supply Inc | 386 Maple Ave E Ste 113, Vienna, VA 22180-4755 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2017-07-01 ~ 2018-06-30 |
| Advance Diabetic Supply Inc | 7800 Foster St, Overland Park, KS 66204-2955 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2019-01-23 ~ 2019-06-30 |
| Dependable Diabetic Supply LLC | 240 Blue Juniper Blvd Unit B, Venice, FL 34292-1753 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2018-07-01 ~ 2019-06-30 |
| Diabetic Supply of Suncoast Inc | Carr 2 Km 26.2 Bo Espinosa, Dorado, PR 00646 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2015-05-22 ~ 2016-06-30 |
| Heritage Diabetic Supply Inc | 2993 Hwy 221 N Ste A, Marion, NC 28752 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2017-07-01 ~ 2018-06-30 |
| Oxford Diabetic Supply Inc | 304 Park Ave S Ste 218, New York, NY 10010-4317 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2009-07-01 ~ 2010-06-30 |
| Oxford Diabetic Supply Inc | 53 Frontage Rd Ste 100, Hampton, NJ 08827-4031 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2013-06-11 ~ 2014-06-30 |
| Medstar Diabetic Supply Lp · Ccs Medical | 3939 W. Green Oaks Blvd #205, Arlington, TX 76016 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Carolina Diabetic Supply Group Inc | 3336 Dr M L King Jr Blvd, New Bern, NC 28562-5218 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2013-07-01 ~ 2014-06-30 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).