Organization Active NPI

Diabetic Plus Inc

  • Durable Medical Equipment & Medical Supplies
  • Sunrise, FL
National Provider Identifier
1548290604
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0613226 Issued in FL
Legal business name
DIABETIC PLUS INC
Practice address
777 Shotgun Rd
Building D Bay 4
Sunrise, FL 33326-1940
Phone
(954) 660-1401
Fax
(954) 660-6186
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Glenn Brosnick
Title
Owner
Phone
(954) 660-1401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0613226 FL Primary

Addresses

Primary practice location

777 Shotgun Rd
Building D Bay 4
Sunrise, FL 33326-1940

Mailing address

777 Shotgun Rd
Building D Bay 4
Sunrise, FL 33326-1940
Phone (954) 660-1401

Other identifiers 1

IdentifierTypeStateIssuer
R9657OtherFLBLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Locations

777 Shotgun Rd
Bldg D
Sunrise, FL 33326
Phone (954) 660-1401

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1548290604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SHOTGUN RD",
            "address_2": "BUILDING D BAY 4",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261940",
            "telephone_number": "954-660-1401",
            "fax_number": "954-660-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SHOTGUN RD",
            "address_2": "BUILDING D BAY 4",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261940",
            "telephone_number": "954-660-1401",
            "fax_number": "954-660-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "BROSNICK",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-660-1401"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "0613226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "R9657",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.