Provider Demographics
NPI:1487654612
Name:DIABETIC CARE NETWORK, INC.
Entity Type:Organization
Organization Name:DIABETIC CARE NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-427-9510
Mailing Address - Street 1:3260 NW 23RD AVE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-1043
Mailing Address - Country:US
Mailing Address - Phone:954-427-9510
Mailing Address - Fax:954-427-9510
Practice Address - Street 1:3260 NW 23RD AVE
Practice Address - Street 2:SUITE 800
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-1043
Practice Address - Country:US
Practice Address - Phone:954-427-9510
Practice Address - Fax:954-427-9510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0233640001Medicare ID - Type UnspecifiedPROVIDER NUMBER