Pine Island Diabetic Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PINE ISLAND DIABETIC SUPPLY INC

Practice address

1400 Colonial Blvd
Suite 84
Fort Myers, FL 33907-1055

Phone

(239) 931-3131

Fax

(239) 931-3133

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Ann Cobey

Title

President

Phone

(239) 931-3131

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1205949625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 COLONIAL BLVD",
            "address_2": "SUITE 84",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071055",
            "telephone_number": "239-931-3131",
            "fax_number": "239-931-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COLONIAL BLVD",
            "address_2": "SUITE 84",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071055",
            "telephone_number": "239-931-3131",
            "fax_number": "239-931-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE ISLAND DIABETIC SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "COBEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-931-3131",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031381500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adiaris Pilotos
• Yilena Pina Gago
• Elizabeth Ann Pinder, LCSW
• Heidi Pinder, DO
• Reginald Samuel Pinder II
• Anthony Richard Pine Jr., P.A.
• Noeli Pinelo Nicholson, MD
• Rosalba Pinero
• Pinnacle Home Care of SW Florida, LLC
• Pinnacle Mental Health Counseling

• Durable Medical Equipment & Medical Supplies in Fort Myers, FL
• Providers in Fort Myers, 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 Aug 7, 2008; 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.