Provider Demographics
NPI:1578505103
Name:SAMKIN GLOBAL, INC.
Entity Type:Organization
Organization Name:SAMKIN GLOBAL, INC.
Other - Org Name:DIABETX CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUDHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHANGELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-900-3340
Mailing Address - Street 1:3948 SUNBEAM RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-8852
Mailing Address - Country:US
Mailing Address - Phone:904-900-3340
Mailing Address - Fax:904-900-3455
Practice Address - Street 1:3948 SUNBEAM RD
Practice Address - Street 2:SUITE 3
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-8852
Practice Address - Country:US
Practice Address - Phone:904-900-3340
Practice Address - Fax:904-900-3455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0622617332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR9519OtherBC/BS OF FLORIDA
OK200065850Medicaid
MD005875100Medicaid
TX183626401Medicaid
MI4841300Medicaid
FL001944100Medicaid
LA1176613Medicaid
IN200538960Medicaid
MD005875100Medicaid
5487120001Medicare NSC