Organization Name: | DIABETIC SUPPLY WELLNESS TEAM |
NPI Number: | 1790708923 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CANDY DENICE BIEDERMAN (BILLING MANAGER) |
Mailing Address: | 75 Ne 6th Ave Ste 219 Delray Beach |
State: | FL US |
Postal Code: | 334833471 |
Phone Number: | 5612669575 |
Fax Number: | 5612669577 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0600037 |
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 |