Diabetes Information & Supply Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETES INFORMATION & SUPPLY CENTER

Practice address

600 Fairway Drive
Suite 103B
Deerfield Beach, FL 33441-1822

Phone

(954) 421-1504

Fax

(954) 570-8331

NPI assigned

Jul 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michael Allan Feld

Title

Secretary

Phone

(954) 421-1504

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1992704894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FAIRWAYDRIVE",
            "address_2": "SUTIE 103B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411822",
            "telephone_number": "954-421-1504",
            "fax_number": "954-570-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FAIRWAY DRIVE",
            "address_2": "SUITE 103B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411822",
            "telephone_number": "954-421-1504",
            "fax_number": "954-570-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES INFORMATION & SUPPLY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "FELD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "954-421-1504",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodie Detzler-Hartfelder, MAT
• Jennifer Catherine Deubler
• Lillian Devito, AGPCNP-BC
• Taylor M Dewitt
• Dexora International LLC
• Diabetic Specialist Only Corp.
• Michael Ryan Dial
• Mouminatou Hadja Diallo
• Adelina Diaz Arce
• Yanelis Diaz Hernandez

• Durable Medical Equipment & Medical Supplies in Deerfield Beach, FL
• Providers in Deerfield Beach, 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 Nov 8, 2007; 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.