Diabetes Supply Program,Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETES SUPPLY PROGRAM,INC.

Practice address

5121 Bowden Rd
Suite 309
Jacksonville, FL 32216-5961

Phone

(904) 367-1694

Fax

(904) 367-8299

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Seth R White

Title

Vice President

Phone

(904) 367-1694

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1457370587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 BOWDEN RD",
            "address_2": "SUITE 309",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165961",
            "telephone_number": "904-367-1694",
            "fax_number": "904-367-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 BOWDEN RD",
            "address_2": "SUITE 309",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165961",
            "telephone_number": "904-367-1694",
            "fax_number": "904-367-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES SUPPLY PROGRAM,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "904-367-1694",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "116778797A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032429900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gurinder Dhaliwal, PSYD
• Fatima Dhanani, DMD
• Sarfaraz Shiraz Dhanji, MD
• Swati Dhungel, M.D.
• Stephanie Di Ianni
• Diabetic Supply & Support Inc.
• Diabetico Internacional, Inc.
• Diagnostic Cardiology PA
• Rohan Anil Dial, MD
• Dialogical Interaction Recovery, Corp.

• Durable Medical Equipment & Medical Supplies in Jacksonville, FL
• Providers in Jacksonville, 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 15, 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.