MEDICARE: DIA-CARE 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		FL

General Provider Information

NPI Number	:	1871590760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIA-CARE INC

Provider Business Mailing Address
First Line	:	19 S DIXIE HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-3727
Country	:	US
Telephone Number	:	561-540-6226
Fax Number	:	561-540-2532

Provider Business Practice Location Address
First Line	:	19 S DIXIE HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-3727
Country	:	US
Telephone Number	:	561-540-6226
Fax Number	:	561-540-2532

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT T KREBS
Credential	:
Telephone Number	:	561-540-6226

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

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