Provider Demographics
NPI:1669495057
Name:ACCURATE DIABETICS
Entity Type:Organization
Organization Name:ACCURATE DIABETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-344-4376
Mailing Address - Street 1:117 SE MONTGOMERY PL
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-6288
Mailing Address - Country:US
Mailing Address - Phone:386-752-3738
Mailing Address - Fax:386-758-9969
Practice Address - Street 1:117 SE MONTGOMERY PL
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-6288
Practice Address - Country:US
Practice Address - Phone:386-752-3738
Practice Address - Fax:386-758-9969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment