MEDICARE: DOCTORS CHOICE 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	:	1689725855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTORS CHOICE DIABETIC SERVICES INC.

Provider Business Mailing Address
First Line	:	540 NW 165TH STREET RD
Second Line	:	SUITE #208
City	:	MIAMI
State	:	FL
Zip	:	33169-6304
Country	:	US
Telephone Number	:	305-948-6228
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 NW 165TH STREET RD
Second Line	:	SUITE #208
City	:	MIAMI
State	:	FL
Zip	:	33169-6304
Country	:	US
Telephone Number	:	305-948-6228
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAUL ROJAS
Credential	:
Telephone Number	:	305-948-6228

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	08/22/2020

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