Organization Active NPI

Reliable Diabetic Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Palm Beach Gardens, FL
National Provider Identifier
1760489090
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RELIABLE DIABETIC SUPPLY INC
Practice address
11211 Prosperity Farms Rd
Ste C-210
Palm Beach Gardens, FL 33410-3446
Phone
(561) 627-9770
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Michelle M Peel
Title
V.P./Owner
Phone
(561) 627-9770

Specialties & licenses 1

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

Addresses

Primary practice location

11211 Prosperity Farms Rd
Ste C-210
Palm Beach Gardens, FL 33410-3446

Mailing address

11211 Prosperity Farms Rd
Ste C-210
Palm Beach Gardens, FL 33410-3446
Phone (561) 627-9770

National Provider Directory

National Provider Directory

Locations

11211 Prosperity Farms Rd
Ste C210
Palm Beach Gardens, FL 33410
Phone (561) 627-9770

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760489090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD",
            "address_2": "STE C-210",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103446",
            "telephone_number": "561-627-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD",
            "address_2": "STE C-210",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103446",
            "telephone_number": "561-627-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE DIABETIC SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEEL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "V.P./OWNER",
        "authorized_official_telephone_number": "561-627-9770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • 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.