Organization · NPI-2

Complete Diabetic Systems INC

Durable Medical Equipment & Medical Supplies · Port Charlotte, FL

NPI number1962476754
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1962476754
Entity type
Organization (NPI-2)
Legal business name
Complete Diabetic Systems INC
Organization subpart
No
Enumeration date
Feb 16, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

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

Practice location

18067 Avonsdale Cir
Port Charlotte, FL 33948-9503

Phone 180-098-5640 · Fax 941-629-2470

Mailing address

18067 Avonsdale Cir
Port Charlotte, FL 33948-9503

Phone 180-098-5640 · Fax 941-629-2470

Authorized official

Carol Prior
President
1800985640

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