Diabetic Supplies of America, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETIC SUPPLIES OF AMERICA, INC

Doing business as

DSA Medical Supplies

Practice address

802 Old Dixie Hwy
Suite 3
Lake Park, FL 33403-2361

Phone

(800) 555-2561

Fax

(561) 840-1042

NPI assigned

Feb 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Warner D Hawley

Title

President

Phone

(800) 555-2561

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DSA Medical Supplies Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184763831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 OLD DIXIE HWY",
            "address_2": "SUITE 3",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032361",
            "telephone_number": "800-555-2561",
            "fax_number": "561-840-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 OLD DIXIE HWY",
            "address_2": "SUITE 3",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032361",
            "telephone_number": "800-555-2561",
            "fax_number": "561-840-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SUPPLIES OF AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAWLEY",
        "authorized_official_first_name": "WARNER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-555-2561",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "R8243",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06300700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DSA Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Core Biotech Systems LLC
• Counseling Unlimited and Virtual Visits
• Dionne Angela Dadd-Samuels, APRN
• Teresa Delgado, MD
• Diabetic Medical Solutions Inc
• Diabetic Supplies of America, Inc.
• Dr Sean Johnson PA
• Marie Voline Duclair, ARNP
• Marie Elphine Duclona
• Eva Isabella Dudek, CAP

• Durable Medical Equipment & Medical Supplies in Lake Park, FL
• Providers in Lake Park, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.