Organization Active NPI

Diabetic Healthlink, LLC

  • Durable Medical Equipment & Medical Supplies
  • Titusville, FL
National Provider Identifier
1376776724
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIABETIC HEALTHLINK, LLC
Practice address
1410 White Dr
Ste D
Titusville, FL 32780-9657
Phone
(855) 405-7853
Fax
(877) 544-2162
NPI assigned
Sep 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Mr. Michael Sowards
Title
Managing Member
Phone
(855) 405-7853

Specialties & licenses 1

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

Addresses

Primary practice location

1410 White Dr
Ste D
Titusville, FL 32780-9657

Mailing address

1410 White Dr
Ste D
Titusville, FL 32780-9657
Phone (855) 405-7853

National Provider Directory

National Provider Directory

Locations

1410 White Dr
Ste D
Titusville, FL 32780
Phone (321) 385-9956

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1376776724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 WHITE DR",
            "address_2": "STE D",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327809657",
            "telephone_number": "855-405-7853",
            "fax_number": "877-544-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 WHITE DR",
            "address_2": "STE D",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327809657",
            "telephone_number": "855-405-7853",
            "fax_number": "877-544-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC HEALTHLINK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "SOWARDS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "855-405-7853",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.