Smart Diabetes Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SMART DIABETES SUPPLY LLC

Practice address

1881 NE 26TH St Ste 238
Wilton Manors, FL 33305-1426

Phone

(954) 790-6980

Fax

(954) 790-6980

NPI assigned

Sep 28, 2023

Organization subpart

No

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

Authorized official

Name

Gilbert Jonathan Vaz

Title

Owner

Phone

(954) 558-0922

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1316726326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST STE 238",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051426",
            "telephone_number": "954-790-6980",
            "fax_number": "954-790-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST STE 238",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051426",
            "telephone_number": "954-790-6980",
            "fax_number": "954-790-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART DIABETES SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "VAZ",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-558-0922"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ragen K Simpson
• Natalie Sims
• Marcia I Sinder
• Clare R Singer, M.S., CCC-SLP
• Gabriel Slavescu, DDS
• Smiley Kidzdental Care PA
• Christina L Smith
• Mark Spencer Smith, PHD. LCSW
• Robert Lee Smith, D.D.S.
• Thomas A Smith, PH.D., LMHC, LMFT

• Durable Medical Equipment & Medical Supplies in Wilton Manors, FL
• Providers in Wilton Manors, 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 Sep 28, 2023; 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.