Provider Demographics
NPI:1750463956
Name:DIABETICS PLUS INC
Entity Type:Organization
Organization Name:DIABETICS PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:M
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-373-1456
Mailing Address - Street 1:4131 NW 13TH ST
Mailing Address - Street 2:218
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-4151
Mailing Address - Country:US
Mailing Address - Phone:352-373-1456
Mailing Address - Fax:352-373-1497
Practice Address - Street 1:4131 NW 13TH ST
Practice Address - Street 2:218
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-4151
Practice Address - Country:US
Practice Address - Phone:352-373-1456
Practice Address - Fax:352-373-1497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4347160001Medicare ID - Type Unspecified