Lake Diabetes Supply, Inc

LBN: Lake Diabetes Supply, Inc
Lake Diabetes Supply, Inc is an health care organization with primary practice located at 2150 Collier Ave Suite R, Fort Myers FL 33901-8129. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Lake Diabetes Supply, Inc can be contacted via phone (239) 275-8080, or through Hartwell, Richard B. via phone (386) 304-5941.

Contact Information

Primary practice address
2150 Collier Ave Suite R Fort Myers FL 33901-8129
Phone: (239) 275-8080
Fax: (239) 274-8161
Website:
Map and Directions
Authorized official contact:
Name: Hartwell, Richard B.
Phone: (386) 304-5941

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Florida

Profile Details

NPI number 1326033648
LBN Legal business name Lake Diabetes Supply, Inc
DBA Doing business as
Authorized official Hartwell, Richard B.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326033648 NPPES
Florida Other R9285 BCBS IDENTIFIER

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