Provider Demographics
NPI:1043337207
Name:DIABETES CARE & EDUCATION INC
Entity Type:Organization
Organization Name:DIABETES CARE & EDUCATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-903-5000
Mailing Address - Street 1:13621 NW 12TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2836
Mailing Address - Country:US
Mailing Address - Phone:954-903-5000
Mailing Address - Fax:954-903-5290
Practice Address - Street 1:607 PENDLETON ST
Practice Address - Street 2:SUITE 103
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3353
Practice Address - Country:US
Practice Address - Phone:864-295-3223
Practice Address - Fax:864-295-3224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1138000001Medicare NSC