AMERICAN DIABETES WHOLESALE LLC NPI 1619128899

NPI Information

NPI: 1619128899
Provider Name: AMERICAN DIABETES WHOLESALE LLC

Doing Business As: ADVANCED NUTRITION AND DIABETES CARE

Classification: Nutritionist - 133NN1002X
Entity Type: Organization

Specialization: Nutrition, Education

Address:
2501 NW 34TH PL
STE 35
POMPANO BEACH, FL
ZIP 33069
Phone: (877) 241-9002
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AMERICAN DIABETES WHOLESALE LLC is a nutrition and education nutritionist in Pompano Beach, FL. AMERICAN DIABETES WHOLESALE LLC NPI is 1619128899. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Nutrition And Diabetes Care.

The provider's business location address is:

2501 NW 34TH PL
STE 35
POMPANO BEACH, FL
ZIP 33069-928
Phone: (877) 241-9002
Fax: (866) 995-4820

The provider's authorized official is Chris Maguire .
The authorized official title is Vice Pres and has the following contact phone number (877) 241-9002.

The enumeration date for this NPI number is 10/6/2008 and was last updated on 7/21/2022.

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			FLORIDA	No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition		FLORIDA	No
3	133NN1002X	Nutritionist	Nutrition, Education	332B00000X	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	1285821264	OTHER	FLORIDA	DME

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: 5/5/2024

NPI Synchronization or Removal

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