Diabetic Supplies of America, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETIC SUPPLIES OF AMERICA, INC.

Practice address

924 Park Ave
Lake Park, FL 33403-2404

Phone

(800) 555-2561

Fax

(561) 840-1042

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Warner Dean Hawley

Title

President

Phone

(561) 840-1043

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DIABETIC SUPPLIES NOF THE PALM BEACHES Former legal business name

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831290600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 PARK AVE",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032404",
            "telephone_number": "800-555-2561",
            "fax_number": "561-840-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 PARK AVE",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032404",
            "telephone_number": "800-555-2561",
            "fax_number": "561-840-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SUPPLIES OF AMERICA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAWLEY",
        "authorized_official_first_name": "WARNER",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-840-1043",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS- DME DIABETIC SUPPLI",
            "identifier": "R8243",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIABETIC SUPPLIES NOF THE PALM BEACHES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Counseling Unlimited and Virtual Visits
• Dionne Angela Dadd-Samuels, APRN
• Teresa Delgado, MD
• Diabetic Medical Solutions Inc
• Diabetic Supplies of America, Inc
• Dr Sean Johnson PA
• Marie Voline Duclair, ARNP
• Marie Elphine Duclona
• Eva Isabella Dudek, CAP
• Edward M. Bounadonna, D.C., P.a

• Durable Medical Equipment & Medical Supplies in Lake Park, FL
• Providers in Lake Park, 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.