Premier Diabetic Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PREMIER DIABETIC SUPPLY INC.

Practice address

1001 N US Highway 1 Ste 402
Jupiter, FL 33477-4406

Phone

(561) 746-1484

NPI assigned

Sep 2, 2009

Last updated

Sep 2, 2009By 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

Carlos Eliseo

Title

Principal

Phone

(561) 252-1552

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1649403064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N US HIGHWAY 1 STE 402",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774406",
            "telephone_number": "561-746-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N US HIGHWAY 1 STE 402",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774406",
            "telephone_number": "561-746-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIABETIC SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "ELISEO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "561-252-1552"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preferred Primary Care LLC
• Samantha Hope Pregel, RDN, LDN
• Premier Behavioral Services of FL, Inc.
• Premier Dentistry of Jupiter
• Premier Dentistry of North Palm Beach
• Premier Health and Wellness Center of the Palm Beaches, LLC
• Premier Medical Care of the Palm Beaches P a
• Premier Medical Supply, Inc.
• Premier Pediatric Therapy, P.a.
• Premier Pediatrics

• Durable Medical Equipment & Medical Supplies in Jupiter, FL
• Providers in Jupiter, 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 2, 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.