Provider Demographics
NPI:1891847034
Name:DIABETIC MEDICAL SOLUTIONS INC
Entity Type:Organization
Organization Name:DIABETIC MEDICAL SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-514-6888
Mailing Address - Street 1:3825 HARWOOD ST
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33403-1054
Mailing Address - Country:US
Mailing Address - Phone:561-514-6888
Mailing Address - Fax:561-784-3765
Practice Address - Street 1:3825 HARWOOD ST
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33403-1054
Practice Address - Country:US
Practice Address - Phone:561-514-6888
Practice Address - Fax:561-784-3765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies