Provider Demographics
NPI:1619978434
Name:MED-CARE DIABETIC & MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:MED-CARE DIABETIC & MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-767-8191
Mailing Address - Street 1:6500 E ROGERS CIR
Mailing Address - Street 2:SUITE A
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-2655
Mailing Address - Country:US
Mailing Address - Phone:800-407-0109
Mailing Address - Fax:877-276-0356
Practice Address - Street 1:6500 E ROGERS CIR
Practice Address - Street 2:SUITE A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2655
Practice Address - Country:US
Practice Address - Phone:888-777-0737
Practice Address - Fax:877-276-0356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X, 332B00000X
FLPH21704333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR9057OtherBC/BS
FLR9057OtherBC/BS