Diabetic Shoe Source Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Debary, FL
NPI 1881056836 · NPPES record last updated Mar 28, 2016
Key facts
- NPI
- 1881056836
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- NOT REQUIRED (FL)
- Legal business name
- DIABETIC SHOE SOURCE INC.
- Practice address
- 156 S Charles Richard Beall Blvd
Suite 3
Debary, FL 32713-3273 - Phone
- (407) 323-5093
- Fax
- (407) 386-8074
- NPI assigned
- Mar 28, 2016
- Organization subpart
- No
Authorized official
- Name
- Anthony H Rivera, C. PED
- Title
- President
- Phone
- (407) 323-5093
National Provider Directory
Locations
156 S Charles Richard Beall Blvd
Ste 3
Debary, FL 32713
Phone (407) 323-5093
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NOT REQUIRED | FL | Yes |
Addresses
Primary practice location
156 S Charles Richard Beall Blvd
Suite 3
Debary, FL 32713-3273
Mailing address
156 S Charles Richard Beall Blvd
Suite 3
Debary, FL 32713-3273
Phone (407) 323-5093
Other providers in Debary, FL
- Michael Edward Degrood
- Nayadit Del Toro Benitez
- Delta Health Group Inc
- Deltona Counseling Associates, P.a.
- Krista Denoff
- Jessica Diaz
- Joanne Elizabeth Dickerson
- Eileen Marie Dobrinski
- Donna Stapleton
- Richard Allan Dowling
All providers in Debary, FL · Durable Medical Equipment & Medical Supplies in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.