Provider Demographics
NPI:1518987973
Name:NATIONAL DIABETIC SYSTEMS, INC.
Entity Type:Organization
Organization Name:NATIONAL DIABETIC SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:MCCARTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-753-7343
Mailing Address - Street 1:PO BOX 210951
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33421-0951
Mailing Address - Country:US
Mailing Address - Phone:561-753-7343
Mailing Address - Fax:561-753-7306
Practice Address - Street 1:3111 FORTUNE WAY
Practice Address - Street 2:SUITE B-8
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-8712
Practice Address - Country:US
Practice Address - Phone:561-753-7343
Practice Address - Fax:561-753-7306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1037600001Medicare ID - Type UnspecifiedDIABETIC SUPPLIES