Organization Active NPI

Diabetic Supply Wellness Team

  • Durable Medical Equipment & Medical Supplies
  • Delray Beach, FL
National Provider Identifier
1790708923
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0600037 Issued in FL
Legal business name
DIABETIC SUPPLY WELLNESS TEAM
Practice address
75 NE 6TH Ave
Ste 219
Delray Beach, FL 33483-3471
Phone
(561) 266-9575
Fax
(561) 266-9577
NPI assigned
Jul 26, 2006
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
Mrs. Candy Denice Biederman
Title
Billing Manager
Phone
(561) 266-9575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0600037 FL Primary

Addresses

Primary practice location

75 NE 6TH Ave
Ste 219
Delray Beach, FL 33483-3471

Mailing address

75 NE 6TH Ave
Ste 219
Delray Beach, FL 33483-3471
Phone (561) 266-9575

National Provider Directory

National Provider Directory

Locations

75 NE 6th Ave
Ste 219
Delray Beach, FL 33483
Phone (561) 266-9575

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790708923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NE 6TH AVE",
            "address_2": "STE 219",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833471",
            "telephone_number": "561-266-9575",
            "fax_number": "561-266-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NE 6TH AVE",
            "address_2": "STE 219",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833471",
            "telephone_number": "561-266-9575",
            "fax_number": "561-266-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SUPPLY WELLNESS TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIEDERMAN",
        "authorized_official_first_name": "CANDY",
        "authorized_official_middle_name": "DENICE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "561-266-9575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "0600037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, 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.