LAKE DIABETES SUPPLY, INC (NPI# 1326033648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326033648 |
| Entity Type | Organization |
| Organization Name | LAKE DIABETES SUPPLY, INC |
| Practice Address |
2150 Collier Ave Suite R Fort Myers FL 33901-8129 |
| Mailing Address |
508 N Harbor City Blvd Melbourne FL 32935-6838 |
| Practice Telephone | 2392758080 |
| Practice Fax Number | 2392748161 |
| Mailing Telephone | 3212559800 |
| Mailing Fax Number | 3217511145 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2008-10-06 |
| Authorized Official Name | MR. RICHARD B. HARTWELL (PRESIDENT) |
| Authorized Official Telephone | 3863045941 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | ========= | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS IDENTIFIER | R9285 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568763696 | Lake Diabetes Supply, Inc | Health Educator | 508 N Harbor City Blvd, Melbourne, FL 32935-6838 | 2010-11-05 |
| 1861487191 | Lake Diabetes Supply, Inc | Durable Medical Equipment & Medical Supplies | 2555 S Atlantic Ave, Suite 1205, Daytona Beach Shores, FL 32118-5546 | 2005-09-13 |
| Street Address |
2150 COLLIER AVE SUITE R |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-8129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588201560 | Akay Holding | Durable Medical Equipment & Medical Supplies | 18875 S Tamiami Trl, Fort Myers, FL 33908-4721 | 2019-12-09 |
| 1346883048 | A & G Spinal LLC | Durable Medical Equipment & Medical Supplies | 13601 Mcgregor Blvd, Ste 11, Fort Myers, FL 33919-6043 | 2019-10-25 |
| 1689137655 | United Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 13180 N Cleveland Ave Ste 130, Fort Myers, FL 33903-6299 | 2019-04-08 |
| 1407373723 | Southeast Hospice Equipment Company Inc | Durable Medical Equipment & Medical Supplies | 10880 Metro Pkwy Ste I, Fort Myers, FL 33966-1153 | 2017-08-28 |
| 1093247132 | American Scooter Company LLC | Durable Medical Equipment & Medical Supplies | 3040 Oasis Grand Blvd, #1008, Fort Myers, FL 33916-1536 | 2017-03-29 |
| 1063951515 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 13121 Paul J. Doherty Pkwy, Fort Myers, FL 33913 | 2017-02-16 |
| 1548629413 | Imc-heartway, L.L.C. | Durable Medical Equipment & Medical Supplies | 5681 Independence Cir, Fort Myers, FL 33912-4457 | 2016-02-19 |
| 1033575733 | Southwest Florida Home Medical Equipment Services, Inc. | Durable Medical Equipment & Medical Supplies | 11000 Metro Pkwy Ste 23, Fort Myers, FL 33966-1244 | 2016-01-11 |
| 1972982270 | Carpal Tunnel Coaching Inc | Durable Medical Equipment & Medical Supplies | 15208 Cricket Ln, Fort Myers, FL 33919-8316 | 2015-05-20 |
| 1609298371 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 5690 Bayshore Rd, Fort Myers, FL 33917-3042 | 2014-01-14 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
Please comment or provide details below to improve the information on LAKE DIABETES SUPPLY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.