Provider Demographics
NPI:1619915840
Name:DIABETIC MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:DIABETIC MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRABIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-533-2355
Mailing Address - Street 1:11870 W STATE ROAD 84
Mailing Address - Street 2:SUITE C-6
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-3816
Mailing Address - Country:US
Mailing Address - Phone:954-533-2355
Mailing Address - Fax:888-789-5889
Practice Address - Street 1:11870 W STATE ROAD 84
Practice Address - Street 2:SUITE C-6
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33325-3816
Practice Address - Country:US
Practice Address - Phone:954-533-2355
Practice Address - Fax:888-789-5889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16-80133948180332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5491250001Medicare ID - Type Unspecified
FL5491250001Medicare NSC