MEDICARE: DIABETIC CARE NETWORK, 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	:	1487654612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIABETIC CARE NETWORK, INC.

Provider Business Mailing Address
First Line	:	3260 NW 23RD AVE
Second Line	:	SUITE 800
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-1043
Country	:	US
Telephone Number	:	954-427-9510
Fax Number	:	954-427-9510

Provider Business Practice Location Address
First Line	:	3260 NW 23RD AVE
Second Line	:	SUITE 800
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-1043
Country	:	US
Telephone Number	:	954-427-9510
Fax Number	:	954-427-9510

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. HOWARD RICH
Credential	:
Telephone Number	:	954-427-9510

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	04/30/2008

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