NPI 1003101296
101 Diabetic Supplies, LLC
Practice location
- Address
- 1400 White Dr STE B, Titusville, FL 32780-9657
- Phone
- (321) 676-8989
Authorised official
- Name
- Dale Greyslak
- Title
- Managing Member
- Phone
- (321) 267-7576
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1003101296
- Entity type
- Organization
- NPI issued
- 15 Jun 2011
- Record last updated
- 23 Aug 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.