Organization · NPI-2

A - Z Diabetes Care Club LLC

Durable Medical Equipment & Medical Supplies · Lakeland, FL

NPI number1619226487
StatusActive
Last updated in NPPESSep 24, 2013

Details

NPI
1619226487
Entity type
Organization (NPI-2)
Legal business name
A - Z Diabetes Care Club LLC
Organization subpart
No
Enumeration date
Sep 7, 2012
Last updated
Sep 24, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Other names

  • Diabetes Care Club (Doing Business As)

Practice location

500 Eagles Landing Dr
Suite B
Lakeland, FL 33810-2899

Phone 863-808-5691 · Fax 863-808-5692

Mailing address

500 Eagles Landing Dr
Suite B
Lakeland, FL 33810-2899

Phone 863-808-5691 · Fax 863-808-5692

Authorized official

Jennifer C. Peters
Secretary
6158153223

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