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Lake Diabetes Supply, Inc
Durable Medical Equipment & Medical Supplies in Daytona Beach Shores, Florida
NPI 1861487191

Lake Diabetes Supply, Inc is a Durable Medical Equipment & Medical Supplies based in Melbourne, FL. Lake Diabetes Supply, Inc practices in Daytona Beach Shores, FL. The NPI Number for Lake Diabetes Supply, Inc is 1861487191 and holds a License No. (Florida).

The current practice location address for Lake Diabetes Supply, Inc is 2555 S Atlantic Ave, Daytona Beach Shores, FL and can be reached out via phone at 386-304-5941 and via fax at 386-304-5941.

Location: 2555 S Atlantic Ave, Daytona Beach Shores, FL, 32935-6838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861487191
Provider Name
Lake Diabetes Supply, Inc
Credential
Provider Entity Type
Organization
Address
2555 S Atlantic Ave, Daytona Beach Shores, FL, 32935-6838
Phone Number
386-304-5941
Fax Number
386-304-5941
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R9283 01 FL BCBS IDENTIFIER
institution
Provider Business Practice Location Address Details
Address
2555 S Atlantic Ave
City
Daytona Beach Shores
State
Florida
Zip
32118-5546
Phone Number
386-304-5941
Fax Number
386-304-5941
person
Provider Business Mailing Address Details
Address
2555 S Atlantic Ave
City
Daytona Beach Shores
State
Florida
Zip
32118-5546
Phone Number
386-304-5941
Fax Number
386-304-5941
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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