MEDICARE: DIABETIC MEDICAL SOLUTIONS 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	:	1891847034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIABETIC MEDICAL SOLUTIONS INC

Provider Business Mailing Address
First Line	:	3825 HARWOOD ST
Second Line	:
City	:	LAKE PARK
State	:	FL
Zip	:	33403-1054
Country	:	US
Telephone Number	:	561-514-6888
Fax Number	:	561-784-3765

Provider Business Practice Location Address
First Line	:	3825 HARWOOD ST
Second Line	:
City	:	LAKE PARK
State	:	FL
Zip	:	33403-1054
Country	:	US
Telephone Number	:	561-514-6888
Fax Number	:	561-784-3765

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. BARBIE CROSS
Credential	:
Telephone Number	:	561-514-6888

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	08/22/2020

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