Provider Demographics
NPI:1528185782
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:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-903-5000
Mailing Address - Street 1:13630 NW 8TH ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-6238
Mailing Address - Country:US
Mailing Address - Phone:502-412-3253
Mailing Address - Fax:502-412-3202
Practice Address - Street 1:3722 BRIDGES ST
Practice Address - Street 2:SUITE 2C
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2943
Practice Address - Country:US
Practice Address - Phone:252-247-3300
Practice Address - Fax:252-247-3390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2010-09-21
Deactivation Date:2010-02-26
Deactivation Code:
Reactivation Date:2010-09-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1138000003Medicare NSC