Organization Name: | LIFE CARE DIABETIC SUPPLIES, INC. |
NPI Number: | 1689621393 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BIBY DAVILA JACOBY (PRESIDENT) |
Mailing Address: | 840 Jupiter Park Dr Suite 101 Jupiter |
State: | FL US |
Postal Code: | 334588947 |
Phone Number: | 5617457335 |
Fax Number: | 5614276427 |
NPI Enumeration Date: | 05/28/2006 |
NPI Last Update Date: | 06/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1312919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |