A1 DIABETES & MEDICAL SUPPLY, INC.
NPI 1366436107
Durable Medical Equipment & Medical Supplies in Eustis, FL

Active since September 08, 2005
636 S BAY ST, EUSTIS, FL 32726(352) 589-1177(352) 589-0629 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About A1 Diabetes & Medical Supply, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A1 DIABETES & MEDICAL SUPPLY, INC. (NPI 1366436107), doing business as Lake Diabetes & Medical Supply, Inc., is a healthcare organization registered as a durable medical equipment & medical supplies in Eustis, Florida and active in the NPI registry since September 2005. The organization lists Michael E Hennessy, President, as its authorized official.

NPPES Registry Identity

NPI1366436107
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameA1 DIABETES & MEDICAL SUPPLY, INC.
Location Address636 S BAY STEustis, FL 32726-4860
Mailing Address2092 Sarno RdMelbourne, FL 32935-3077 · (321) 255-9800 · Fax (321) 751-1145
Fax(352) 589-0629
Organization SubpartNo
Authorized OfficialMichael E HennessyPresident · (321) 255-9800
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJuly 21, 2022
NPI 1366436107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
636 S BAY ST, Eustis, FL 32726

Other Names 1

Former Legal Business NameLake Diabetes & Medical Supply, Inc.

Other Identifiers 1

OtherR6834FL · Bcbs Identifier

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
636 S BAY ST
EUSTIS, FL 32726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A1 Diabetes & Medical Supply, Inc.'s NPI number?

The NPI number for A1 Diabetes & Medical Supply, Inc. is 1366436107. It was assigned to this organization in the NPPES registry on September 8, 2005. The provider was formerly known as Lake Diabetes & Medical Supply, Inc..

Where is A1 Diabetes & Medical Supply, Inc. located?

A1 Diabetes & Medical Supply, Inc. is located at 636 S Bay St, Eustis, FL 32726. The listed phone number is (352) 589-1177.

What is A1 Diabetes & Medical Supply, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for A1 Diabetes & Medical Supply, Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.