DIABETIC HEALTH SUPPLY, INC (NPI# 1750385035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750385035 |
| Entity Type | Organization |
| Organization Name | DIABETIC HEALTH SUPPLY, INC |
| Practice Address |
9031 Pittsburgh Blvd Fort Myers FL 33967-7206 |
| Practice Telephone | 2394374004 |
| Practice Fax Number | 2394374008 |
| Mailing Telephone | 2394374004 |
| Mailing Fax Number | 2394374008 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LYNN C REDAVID (PRESIDENT/CUSTOMER SERVICE MANAGER) |
| Authorized Official Telephone | 2394374004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 5282130001 | FL | Suppliers |
| Street Address |
9031 PITTSBURGH BLVD |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33967-7206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614991 | Michelle Lynn Gerken | Nurse Practitioner | 8141 Pennsylvania Blvd, Fort Myers, FL 33967 | 2018-09-28 |
| 1659892370 | Mary Kathryn Mckeon | Occupational Therapist | 9025 King Rd W, Ft Myers, FL 33967 | 2017-07-03 |
| 1316321003 | Wal-mart Stores East, Lp | Technician/Technologist | 19975 S Tamiami Trail, Fort Myers, FL 33967 | 2015-07-13 |
| 1104970409 | Jennifer J. Paul | Registered Nurse | 17132 Alico Center Road, Suite 1, Fort Myers, FL 33967 | 2007-01-23 |
| 1194750935 | William A. Greider | Dentist | 19004 Birch Rd. Se, Ft. Myers, FL 33967 | 2006-07-11 |
| 1548271869 | Desiree Granados-fischel | Obstetrics & Gynecology | 19348 La Serena Dr, Fort Myers, FL 33967-0525 | 2006-08-11 |
| 1487644555 | Henry Donn Venable | Anesthesiology | 19324 La Serena Dr, Estero, FL 33967-0525 | 2005-10-28 |
| 1407146434 | Barrie Nicole Vilnius | Occupational Therapist | 8815 Largo Mar Dr, Fort Myers, FL 33967-0534 | 2011-04-11 |
| 1760805725 | Hearing Health In Home Care, LLC | Hearing Instrument Specialist | 19760 Maddelena Cir, Fort Myers, FL 33967-0537 | 2014-01-28 |
| 1891110128 | Derick Alexander Winn | Hearing Instrument Specialist | 19760 Maddelena Cir, Fort Myers, FL 33967-0537 | 2014-02-24 |
| Find all providers in zip 33967 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588201560 | Akay Holding | Durable Medical Equipment & Medical Supplies | 18875 S Tamiami Trl, Fort Myers, FL 33908-4721 | 2019-12-09 |
| 1346883048 | A & G Spinal LLC | Durable Medical Equipment & Medical Supplies | 13601 Mcgregor Blvd, Ste 11, Fort Myers, FL 33919-6043 | 2019-10-25 |
| 1689137655 | United Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 13180 N Cleveland Ave Ste 130, Fort Myers, FL 33903-6299 | 2019-04-08 |
| 1407373723 | Southeast Hospice Equipment Company Inc | Durable Medical Equipment & Medical Supplies | 10880 Metro Pkwy Ste I, Fort Myers, FL 33966-1153 | 2017-08-28 |
| 1093247132 | American Scooter Company LLC | Durable Medical Equipment & Medical Supplies | 3040 Oasis Grand Blvd, #1008, Fort Myers, FL 33916-1536 | 2017-03-29 |
| 1063951515 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 13121 Paul J. Doherty Pkwy, Fort Myers, FL 33913 | 2017-02-16 |
| 1548629413 | Imc-heartway, L.L.C. | Durable Medical Equipment & Medical Supplies | 5681 Independence Cir, Fort Myers, FL 33912-4457 | 2016-02-19 |
| 1033575733 | Southwest Florida Home Medical Equipment Services, Inc. | Durable Medical Equipment & Medical Supplies | 11000 Metro Pkwy Ste 23, Fort Myers, FL 33966-1244 | 2016-01-11 |
| 1972982270 | Carpal Tunnel Coaching Inc | Durable Medical Equipment & Medical Supplies | 15208 Cricket Ln, Fort Myers, FL 33919-8316 | 2015-05-20 |
| 1609298371 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 5690 Bayshore Rd, Fort Myers, FL 33917-3042 | 2014-01-14 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33967 |
Please comment or provide details below to improve the information on DIABETIC HEALTH SUPPLY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.