CERTIFIED DIABETIC SUPPLIES INC NPI 1093750218

NPI Information

NPI: 1093750218
Provider Name: CERTIFIED DIABETIC SUPPLIES, INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
10061 AMBERWOOD RD
FORT MYERS, FL
ZIP 33913
Phone: (239) 430-5000
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CERTIFIED DIABETIC SUPPLIES, INC is a durable medical equipment medical supplies in Fort Myers, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CERTIFIED DIABETIC SUPPLIES, INC NPI is 1093750218. The provider is registered as an organization entity type.

The provider's business location address is:

10061 AMBERWOOD RD
FORT MYERS, FL
ZIP 33913-502
Phone: (239) 430-5000
Fax: (800) 529-0543

The provider's authorized official is Lowell M. Fisher .
The authorized official title is Chairman & Ceo and has the following contact phone number (239) 430-5000.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 2/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	332B00000X	Durable Medical Equipment & Medical Supplies		F97000004927	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C08468131	MEDICARE ID-TYPE UNSPECIFIED		REGION C SUBMIT ID
2	0925330001	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	PROVIDER ID
3	0925330001	MEDICARE NSC	FLORIDA
4	E8771A	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	EDUCATION MEDICARE PROV
5	C08468131	MEDICARE ID-TYPE UNSPECIFIED		REGION D SUBMIT ID
6	B08301283	MEDICARE ID-TYPE UNSPECIFIED		REGION B SUBMIT ID
7	P4488	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	MED FL EDUCATION SUB ID
8	C08468131	MEDICARE ID-TYPE UNSPECIFIED		REGION A SUBMIT ID
9	951571200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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