Diabetes Store, Inc.
LBN: Diabetes Store, Incorporated
Diabetes Store, Inc. is an health care organization with primary practice located at 777 Deltona Blvd Ste 4 , Deltona FL 32725-7174. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty.
Diabetes Store, Incorporated can be contacted via phone (901) 312-3150, or through Brosseau, Craig via phone (952) 646-3255.
Contact Information
Primary practice address
777 Deltona Blvd Ste 4
Deltona FL 32725-7174
Phone: (901) 312-3150
Fax: (800) 208-0863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1417592726 |
|---|---|
| LBN Legal business name | Diabetes Store, Incorporated |
| DBA Doing business as | Diabetes Store, Inc. |
| Authorized official | Brosseau, Craig |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 11th, 2019 |
| Last updated | Nov 11th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417592726 | NPPES |
| Florida | Other | 4425570004 | MEDICARE |
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