LAKE DIABETES SUPPLY, INC
NPI 1861487191
Durable Medical Equipment & Medical Supplies in Daytona Beach Shores, FL

Q: What is Lake Diabetes Supply, Inc's NPI number?

The NPI number for Lake Diabetes Supply, Inc is 1861487191. It was assigned to this organization in the NPPES registry on September 13, 2005.

Q: What is Lake Diabetes Supply, Inc's specialty?

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

Active since September 13, 2005

2555 S ATLANTIC AVE, SUITE 1205, DAYTONA BEACH SHORES, FL 32118(386) 304-5941(386) 304-5941 Get Directions Write a Review

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

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About Lake Diabetes Supply, Inc NPPES

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

LAKE DIABETES SUPPLY, INC (NPI 1861487191) is a healthcare organization registered as a durable medical equipment & medical supplies in Daytona Beach Shores, Florida and active in the NPI registry since September 2005. The organization lists Richard B Hartwell, President, as its authorized official.

NPPES Registry Identity

NPI1861487191

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameLAKE DIABETES SUPPLY, INC

Location Address2555 S ATLANTIC AVE, SUITE 1205Daytona Beach Shores, FL 32118-5546

Mailing Address508 N Harbor City BlvdMelbourne, FL 32935-6838 · (321) 255-9800 · Fax (321) 751-1145

Phone(386) 304-5941

Fax(386) 304-5941

Organization SubpartNo

Authorized OfficialRichard B HartwellPresident · (386) 304-5941

Enumeration DateSeptember 13, 2005

Last NPPES UpdateJuly 21, 2022

✔ NPI 1861487191 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.

2555 S ATLANTIC AVE, Daytona Beach Shores, FL 32118

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Other Identifiers 1

OtherR9283FL · Bcbs Identifier

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 Lake Diabetes Supply, Inc's NPI number?

The NPI number for Lake Diabetes Supply, Inc is 1861487191. It was assigned to this organization in the NPPES registry on September 13, 2005.

Where is Lake Diabetes Supply, Inc located?

Lake Diabetes Supply, Inc is located at 2555 S Atlantic Ave Suite 1205, Daytona Beach Shores, FL 32118. The listed phone number is (386) 304-5941.

What is Lake Diabetes 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 Lake Diabetes 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.