LAKE DIABETES SUPPLY, INC
NPI 1861487191
Durable Medical Equipment & Medical Supplies in Daytona Beach Shores, FL
- Organization
- Durable Medical Equipment & Medical Supp...
About LAKE DIABETES SUPPLY, INC
This page provides the complete NPI Profile along with additional information for Lake Diabetes Supply, Inc, a provider established in Daytona Beach Shores, Florida operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1861487191 assigned on September 2005. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Richard B Hartwell (President)
- NPI
- 1861487191 Verify this NPI
- Provider Name
- LAKE DIABETES SUPPLY, INC
- Entity Type
- Organization
- Location Address
- 2555 S ATLANTIC AVE SUITE 1205 DAYTONA BEACH SHORES, FL 32118
- Location Phone
- (386) 304-5941
- Location Fax
- (386) 304-5941
- Mailing Address
- 508 N HARBOR CITY BLVD MELBOURNE, FL 32935
- Mailing Phone
- (321) 255-9800
- Mailing Fax
- (321) 751-1145
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-13-2005
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License State
- FL
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| R9283 | OTHER (01) | FL | BCBS IDENTIFIER |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861487191, enumerated as an "organization" on September 13, 2005.
The provider is located at 2555 S ATLANTIC AVE SUITE 1205 DAYTONA BEACH SHORES, FL 32118 and the phone number is (386) 304-5941.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
