Diabetic Supply Foundation of Ft Myers

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

032752 Issued in FL

Legal business name

DIABETIC SUPPLY FOUNDATION OF FT MYERS

Practice address

205 Joel Blvd
Suite 202
Lehigh Acres, FL 33972-0201

Phone

(239) 848-6696

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Yvonne Tanenbaum

Title

President

Phone

(800) 238-8944

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598862245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 JOEL BLVD",
            "address_2": "SUITE 202",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339720201",
            "telephone_number": "239-848-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 JOEL BLVD",
            "address_2": "SUITE 202",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339720201",
            "telephone_number": "239-848-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SUPPLY FOUNDATION OF FT MYERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANENBAUM",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-238-8944",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "032752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neilin Denis Casanova, RBT-24-382680
• Katia Depestre Depestre Rodriguez
• Liana Derringer
• Sebastien De Jivano Destin
• Enieth Devesa
• Maria Caridad Diaz Borrero
• Yahima Diaz Calzada
• Liesbel Diaz Chavez Sr.
• Miladys Diaz Cruz
• Dayron Diaz Ferrer

• Durable Medical Equipment & Medical Supplies in Lehigh Acres, FL
• Providers in Lehigh Acres, 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 Aug 22, 2020; 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.