Provider Demographics
NPI:1023097821
Name:DIAMOND DIABETIC SERVICES INC
Entity type:Organization
Organization Name:DIAMOND DIABETIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DUGGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-741-8511
Mailing Address - Street 1:509 TURNER LN
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34212-2615
Mailing Address - Country:US
Mailing Address - Phone:941-741-8511
Mailing Address - Fax:941-741-8611
Practice Address - Street 1:509 TURNER LN
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34212-2615
Practice Address - Country:US
Practice Address - Phone:941-741-8511
Practice Address - Fax:941-741-8611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies