A1 Diabetes & Medical Supply, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Eustis, FL
NPI 1366436107 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1366436107
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- A1 DIABETES & MEDICAL SUPPLY, INC.
- Practice address
- 636 S Bay St
Eustis, FL 32726-4860 - Phone
- (352) 589-1177
- Fax
- (352) 589-0629
- NPI assigned
- Sep 8, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael E Hennessy
- Title
- President
- Phone
- (321) 255-9800
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | FL | Yes |
Addresses
Primary practice location
636 S Bay St
Eustis, FL 32726-4860
Mailing address
2092 Sarno Rd
Melbourne, FL 32935-3077
Phone (321) 255-9800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R6834 | Other | FL | BCBS IDENTIFIER |
Other names
- Lake Diabetes & Medical Supply, Inc.
Other providers in Eustis, FL
- 2-Strive, LLC
- 888 Medical Supplies, LLC
- A.C.M.C. Ventures, L.L.C.
- Aaaw Transport LLC
- Menocca Abrams
- Aisha M Acevedo Sanchez
- Advanced Comprehensive Care Associates, LLC
- Advanced Primary Care Associates, P.a.
All providers in Eustis, 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 Jul 21, 2022. 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.