MEDICARE: CERTIFIED DIABETIC SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1053319137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CERTIFIED DIABETIC SERVICES, INC.

Provider Business Mailing Address
First Line	:	3030 HORSESHOE DR S
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34104-6139
Country	:	US
Telephone Number	:	239-430-5000
Fax Number	:	239-403-7722

Provider Business Practice Location Address
First Line	:	3030 HORSESHOE DR S
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34104-6143
Country	:	US
Telephone Number	:	239-430-5000
Fax Number	:	239-403-7722

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. BRENT PETERSON
Credential	:
Telephone Number	:	239-430-5000

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1194689760 — DUSTIN J FINUCAN
Practice Location Address:

2607 RIVER REACH DR
NAPLES, FL
34104-6932

Practice Phone: 239-404-9241
Practice Fax: 239-404-9241

1982568309 — RENOVO MENTAL HEALTH CORP
Practice Location Address:

1055 MOON LAKE DR
NAPLES, FL
34104-6619

Practice Phone: 786-300-2787
Practice Fax:

1740622307 — METRO TREATMENT OF FLORIDA, LP
Practice Location Address:

2770 DAVIS BLVD STE 60
NAPLES, FL
34104-4371

Practice Phone: 239-280-0487
Practice Fax: 239-280-0493

1922961366 — HOLLY MURPHY
Practice Location Address:

2067 RIVER REACH DR APT 405
NAPLES, FL
34104-6972

Practice Phone: 989-329-5118
Practice Fax:

1447113568 — ANA YERO RULI
Practice Location Address:

7665 TARA CIR APT 104
NAPLES, FL
34104-6498

Practice Phone: 305-360-2626
Practice Fax:

1164426912 — HOWARD LINZER D.O.
Practice Location Address:

6400 DAVIS BLVD , STE 103
NAPLES, FL
34104-5321

Practice Phone: 239-775-2300
Practice Fax: 239-775-4312

Directions to “CERTIFIED DIABETIC SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.