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Lake Diabetes Supply, Inc
Durable Medical Equipment & Medical Supplies in Fort Myers, Florida
NPI 1326033648

Lake Diabetes Supply, Inc is a Durable Medical Equipment & Medical Supplies based in Melbourne, FL. Lake Diabetes Supply, Inc practices in Fort Myers, FL. The NPI Number for Lake Diabetes Supply, Inc is 1326033648 and holds a License No. (Florida).

The current practice location address for Lake Diabetes Supply, Inc is 2150 Collier Ave, Fort Myers, FL and can be reached out via phone at 239-275-8080 and via fax at 239-274-8161. You can also correspond with Lake Diabetes Supply, Inc through the mailing address at 508 N HARBOR CITY BLVD, MELBOURNE, FL - 32935-6838 (mailing address contact number: 321-255-9800).

Location: 2150 Collier Ave, Fort Myers, FL, 32935-6838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326033648
Provider Name
Lake Diabetes Supply, Inc
Credential
Provider Entity Type
Organization
Address
2150 Collier Ave, Fort Myers, FL, 32935-6838
Phone Number
239-275-8080
Fax Number
239-274-8161
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R9285 01 FL BCBS IDENTIFIER
institution
Provider Business Practice Location Address Details
Address
2150 Collier Ave
City
Fort Myers
State
Florida
Zip
33901-8129
Phone Number
239-275-8080
Fax Number
239-274-8161
person
Provider Business Mailing Address Details
Address
508 N Harbor City Blvd
City
Melbourne
State
Florida
Zip
32935-6838
Phone Number
321-255-9800
Fax Number
321-751-1145
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Florida)
Definition
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.
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