DIABETES SELF MANAGEMENT SUPPLIES (NPI# 1508958901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508958901 |
| Entity Type | Organization |
| Organization Name | DIABETES SELF MANAGEMENT SUPPLIES |
| Other Organization Name | DIABETES & NUTRITION CENTERS |
| Practice Address |
12230 W Forest Hill Blvd Suite 178 Wellington FL 33414-5700 |
| Practice Telephone | 5615150848 |
| Practice Fax Number | 5613332640 |
| Mailing Telephone | 5615150848 |
| Mailing Fax Number | 5613332640 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2009-02-10 |
| Authorized Official Name | JERRY FONDA (PRESIDENT) |
| Authorized Official Telephone | 5615150848 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Diabetes & Nutrition Centers | Doing Business As Name - Organization |
| Street Address |
12230 W FOREST HILL BLVD SUITE 178 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700816386 | Pamela J Cunningham | Anesthesiology | 12230 W Forest Hill Blvd, Wellington, FL 33414-5700 | 2006-07-03 |
| 1194052167 | Tboa | Home Health | 12230 W Forest Hill Blvd, Wellington, FL 33414-5700 | 2009-11-11 |
| 1053553644 | Madelyn Garcia | Nurse Anesthetist, Certified Registered | 12230 W Forest Hill Blvd, Suite 182, Wellington, FL 33414-5700 | 2009-03-30 |
| 1740448455 | Graciela Perez | Counselor | 12230 W Forest Hill Blvd, Suite 308, Wellington, FL 33414-5700 | 2008-05-29 |
| 1720206279 | Laura Del Valle | Dietitian, Registered | 12230 W Forest Hill Blvd, Suite 160, Wellington, FL 33414-5700 | 2007-04-22 |
| 1659416402 | Crista Snook | Nurse Anesthetist, Certified Registered | 12230 W Forest Hill Blvd, Ste 182, Wellington, FL 33414-5700 | 2007-02-20 |
| 1821177171 | Jennifer Mary Sarrica | Anesthesiology | 12230 W Forest Hill Blvd, Ste #182, Wellington, FL 33414-5700 | 2006-11-06 |
| 1548342983 | Christina Marie Rankin | Anesthesiology | 12230 W Forest Hill Blvd, Suite #182, Wellington, FL 33414-5700 | 2006-10-19 |
| 1821194382 | Gonzalo Echavarria | Anesthesiology | 12230 W Forest Hill Blvd, Ste #182, Wellington, FL 33414-5700 | 2006-09-15 |
| 1720095110 | Israel Soto Rolon | Nurse Anesthetist, Certified Registered | 12230 W Forest Hill Blvd, Wellington, FL 33414-5700 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| 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 |
|---|---|---|---|---|
| 1154931145 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 11950 Forest Hill Blvd, Wellington, FL 33414-6248 | 2020-08-04 |
| 1548741697 | Armour Medical Inc | Durable Medical Equipment & Medical Supplies | 2365 Stonegate Dr, Wellington, FL 33414-7783 | 2018-08-27 |
| 1780075192 | Ekno Supply LLC | Durable Medical Equipment & Medical Supplies | 3581 Collonade Dr, Wellington, FL 33449-8081 | 2015-02-08 |
| 1629376876 | Mountain Packagers Inc. | Durable Medical Equipment & Medical Supplies | 9600 N County Road 5, Wellington, CO 80549-1870 | 2011-03-10 |
| 1649576430 | Medical Support International | Durable Medical Equipment & Medical Supplies | 9314 Forest Hill Blvd, Suite 110, Wellington, FL 33411-6577 | 2011-01-27 |
| 1639345374 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 800 S State Road 7, Wellington, FL 33414-6264 | 2008-05-02 |
| 1740333061 | Foot Care Store Inc | Durable Medical Equipment & Medical Supplies | 3281 Fairlane Farms Rd Ste 4, Wellington, FL 33414-6503 | 2007-01-19 |
| 1093880916 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 10420 Forest Hill Blvd, Wellington, FL 33414-3172 | 2006-11-24 |
| 1568477602 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1250 Greenview Shores Blvd, Wellington, FL 33414-8681 | 2006-07-29 |
| 1518987973 | National Diabetic Systems, Inc. | Durable Medical Equipment & Medical Supplies | 3111 Fortune Way, Suite B-8, Wellington, FL 33414-8712 | 2006-07-20 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on DIABETES SELF MANAGEMENT SUPPLIES.
| 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.