101 Diabetic Supplies, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Titusville, FL
NPI 1003101296 · NPPES record last updated Aug 23, 2013
Key facts
- NPI
- 1003101296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- 101 DIABETIC SUPPLIES, LLC
- Practice address
- 1400 White Dr Ste B
Titusville, FL 32780-9657 - Phone
- (321) 676-8989
- NPI assigned
- Jun 15, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Dale Greyslak
- Title
- Managing Member
- Phone
- (321) 267-7576
National Provider Directory
Locations
2441 Bellevue Ave
#F
Daytona Beach, FL 32114
Phone (855) 636-4603
1400 White Dr
Ste B
Titusville, FL 32780
Phone (321) 676-8989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
1400 White Dr Ste B
Titusville, FL 32780-9657
Mailing address
1400 White Dr Ste B
Titusville, FL 32780-9657
Phone (321) 676-8989
Other names
- Jade Diabetic Group
Other providers in Titusville, FL
- 1550 Jess Parrish Court Operations LLC
- A Mindful Walk Counseling, LLC
- A-1 Community Choice
- A1 Community Choice LLC
- Ability Health Services, Inc
All providers in Titusville, FL · Durable Medical Equipment & Medical Supplies in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.