Complete Diabetic Systems Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COMPLETE DIABETIC SYSTEMS INC

Practice address

18067 Avonsdale Cir
Port Charlotte, FL 33948-9503

Phone

(180) 098-5640

Fax

(941) 629-2470

NPI assigned

Feb 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Carol Prior

Title

President

Phone

(180) 098-5640

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962476754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18067 AVONSDALE CIR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339489503",
            "telephone_number": "180-098-5640",
            "fax_number": "941-629-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18067 AVONSDALE CIR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339489503",
            "telephone_number": "180-098-5640",
            "fax_number": "941-629-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DIABETIC SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIOR",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "180-098-5640",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Port Charlotte, FL
• Providers in Port Charlotte, 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.