MEDICARE: DYABETIMED LLC

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		FL

General Provider Information

NPI Number	:	1083617195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYABETIMED LLC

Provider Business Mailing Address
First Line	:	9045 LA FONTANA BLVD
Second Line	:	STE C7A
City	:	BOCA RATON
State	:	FL
Zip	:	33434-5637
Country	:	US
Telephone Number	:	866-807-0024
Fax Number	:	866-807-0031

Provider Business Practice Location Address
First Line	:	9045 LA FONTANA BLVD
Second Line	:	STE C7A
City	:	BOCA RATON
State	:	FL
Zip	:	33434-5637
Country	:	US
Telephone Number	:	866-807-0024
Fax Number	:	866-807-0031

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GREGG A KIKEN
Credential	:
Telephone Number	:	866-807-0024

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1245176221 — NEW LEAF DIETETICS, LLC.
Practice Location Address:

1361 SW MULBERRY WAY
BOCA RATON, FL
33486-5637

Practice Phone: 954-913-1242
Practice Fax:

1245177690 — PATRICIA KEATING
Practice Location Address:

2575 NW 27TH ST
BOCA RATON, FL
33434-3655

Practice Phone: 561-504-6459
Practice Fax:

1215790688 — DAYNA HIRSCH FNP-C
Practice Location Address:

9325 GLADES RD STE 107
BOCA RATON, FL
33434-3988

Practice Phone: 561-430-3599
Practice Fax: 561-430-3529

1265437891 — JORDAN BLAKE SCHWARTZBERG MD
Practice Location Address:

9325 GLADES RD , SUITE 207
BOCA RATON, FL
33434-3988

Practice Phone: 561-487-7575
Practice Fax: 561-487-7576

1053310391 — DR. RANYA GEORGIA HABASH M.D.
Practice Location Address:

9325 GLADES RD , SUITE 201
BOCA RATON, FL
33434-3907

Practice Phone: 561-488-1001
Practice Fax:

1942209283 — DR. BRENT WILLIAM BELLOTTE M.D.
Practice Location Address:

9325 GLADES RD , SUITE 201
BOCA RATON, FL
33434-3907

Practice Phone: 561-488-1001
Practice Fax:

Directions to “DYABETIMED LLC ” 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 © 2007-2026 (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.