DIRECT DIABETIC SUPPLY LLC NPI 1043353212

NPI Information

  • NPI: 1043353212
  • Provider Name: DIRECT DIABETIC SUPPLY LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 7040 W PALMETTO PARK RD
    BLDG 4 SUITE 464
    BOCA RATON, FL
    ZIP 33433
  • Phone: (561) 251-6503

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NPI Details

DIRECT DIABETIC SUPPLY LLC is a durable medical equipment medical supplies in Boca Raton, 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. DIRECT DIABETIC SUPPLY LLC NPI is 1043353212. The provider is registered as an organization entity type.

The provider's business location address is:

7040 W PALMETTO PARK RD
BLDG 4 SUITE 464
BOCA RATON, FL
ZIP 33433-407
Phone: (561) 251-6503
Fax: (561) 998-8807

The provider's authorized official is Jeffrey R Wasserman .
The authorized official title is Director and has the following contact phone number (561) 251-6503.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 8/22/2020.

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
1332B00000XDurable Medical Equipment & Medical SuppliesFLORIDAYes

What is NPI?

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This page was last updated on: 3/30/2025

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