American Diabetic Plus, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AMERICAN DIABETIC PLUS, INC

Practice address

4025 W 1St St
Sanford, FL 32771-9721

Phone

(321) 363-3997

Fax

(321) 363-3266

NPI assigned

Feb 26, 2013

Last updated

Feb 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Pablo Medina

Title

Ceo

Phone

(407) 323-5093

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1508106683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 W 1ST ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719721",
            "telephone_number": "321-363-3997",
            "fax_number": "321-363-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 W 1ST ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719721",
            "telephone_number": "321-363-3997",
            "fax_number": "321-363-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DIABETIC PLUS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-323-5093",
        "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": []
}

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• Durable Medical Equipment & Medical Supplies in Sanford, FL
• Providers in Sanford, 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 Feb 26, 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.