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Southern Diabetic Supply Company
Durable Medical Equipment & Medical Supplies in Summerfield, Florida
NPI 1912997172

Southern Diabetic Supply Company is a Durable Medical Equipment & Medical Supplies based in Summerfield, FL. Southern Diabetic Supply Company practices in Summerfield, FL. The NPI Number for Southern Diabetic Supply Company is 1912997172 and holds a License No. 0000001000 (Florida).

The current practice location address for Southern Diabetic Supply Company is 14343 Se 34Th Ct Ste 1, Summerfield, FL and can be reached out via phone at 901-365-1100.

Location: 14343 Se 34Th Ct Ste 1, Summerfield, FL, 34491-2913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912997172
Provider Name
Southern Diabetic Supply Company
Credential
Provider Entity Type
Organization
Address
14343 Se 34Th Ct Ste 1, Summerfield, FL, 34491-2913
Phone Number
901-365-1100
Fax Number
Provider Enumeration Date
10/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7415591 01 TN AETNA
04252570 05 MS
154596716 05 AR
200029690 05 OK
4084030 01 TN BLUECROSS BLUESHILD
1454404 05 TN
institution
Provider Business Practice Location Address Details
Address
14343 Se 34Th Ct Ste 1
City
Summerfield
State
Florida
Zip
34491-2913
Phone Number
901-365-1100
Fax Number
person
Provider Business Mailing Address Details
Address
14343 Se 34Th Ct Ste 1
City
Summerfield
State
Florida
Zip
34491-2913
Phone Number
901-365-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
0000001000 (Tennessee)
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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