Diabetic Supply Foundation of Delray Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETIC SUPPLY FOUNDATION OF DELRAY INC

Practice address

1261 SW 13TH St
Boca Raton, FL 33486-5307

Phone

(561) 367-4658

Fax

(561) 367-9913

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Stein Raithel Jr.

Title

President

Phone

(561) 367-4658

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942374293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7491 N FEDERAL HWY",
            "address_2": "C5 155",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871625",
            "telephone_number": "561-367-4658",
            "fax_number": "561-367-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 SW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334865307",
            "telephone_number": "561-367-4658",
            "fax_number": "561-367-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SUPPLY FOUNDATION OF DELRAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAITHEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "STEIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-367-4658",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "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": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "R8144",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diabetic Source Inc
• Dialysis Spa, LLC
• Dialyze Direct FL LLC
• Ariel Diamant
• Ann Diamond
• Josephine Diamond, ADDICTIONOLOGIST

• Durable Medical Equipment & Medical Supplies in Boca Raton, FL
• Providers in Boca Raton, 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.