NPIMap

Organization Active NPI

Diabetic Assistance

  • Durable Medical Equipment & Medical Supplies
  • Pembroke Park, FL
National Provider Identifier
1326326737
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIABETIC ASSISTANCE
Practice address
3215 SW 52ND Ave
Pembroke Park, FL 33023-2380
Phone
(954) 639-3125
NPI assigned
Aug 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Mr. Douglas Brandon Granger
Title
Owner
Phone
(954) 639-3125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X FL Primary

Addresses

Primary practice location

3215 SW 52ND Ave
Pembroke Park, FL 33023-2380

Mailing address

3215 SW 52ND Ave
Unit 47
Pembroke Park, FL 33023-2380
Phone (954) 639-3125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1326326737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 SW 52ND AVE",
            "address_2": "UNIT 47",
            "city": "PEMBROKE PARK",
            "state": "FL",
            "postal_code": "330232380",
            "telephone_number": "954-639-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 SW 52ND AVE",
            "city": "PEMBROKE PARK",
            "state": "FL",
            "postal_code": "330232380",
            "telephone_number": "954-639-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC ASSISTANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-639-3125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.