Diabetes Self Management Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETES SELF MANAGEMENT SUPPLIES

Practice address

12230 W Forest Hill Blvd
Suite 178
Wellington, FL 33414-5700

Phone

(561) 515-0848

Fax

(561) 333-2640

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Jerry Fonda

Title

President

Phone

(561) 515-0848

Specialties & licenses 1

Addresses

Other names 1

• Diabetes & Nutrition Centers Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Del Valle, RD, LD, CDE

  • Registered Dietitian
  • Wellington, FL
  • NPI 1720206279
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1508958901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12230 W FOREST HILL BLVD",
            "address_2": "SUITE 178",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334145700",
            "telephone_number": "561-515-0848",
            "fax_number": "561-333-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 W FOREST HILL BLVD",
            "address_2": "SUITE 178",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334145700",
            "telephone_number": "561-515-0848",
            "fax_number": "561-333-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES SELF MANAGEMENT SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "FONDA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-515-0848"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes & Nutrition Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Derose, LCSW
• Des Cares LLC
• Desiree Garzon, DPM, PA
• Emily Dettinburn
• Christopher Leonard Devine, D.O.
• Diana Berman LCSW Inc
• Diana Moore, LCSW, P.a. Group
• Michelle Anne Diana, FNP-C
• Ciarra Diaz
• Hadry Diaz, MSN, APRN, FNP-C

• Durable Medical Equipment & Medical Supplies in Wellington, FL
• Providers in Wellington, 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 10, 2009; 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.