Provider Demographics
NPI:1508624594
Name:DIABETIC'S CHOICE, LLC
Entity Type:Organization
Organization Name:DIABETIC'S CHOICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:BAFIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-730-1704
Mailing Address - Street 1:1603 52ND DR W
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-5511
Mailing Address - Country:US
Mailing Address - Phone:941-730-1704
Mailing Address - Fax:
Practice Address - Street 1:5600 BEE RIDGE RD STE B
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1500
Practice Address - Country:US
Practice Address - Phone:941-233-8321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty