Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Diabetes Supply, Inc

Organization Health Educator · NPI 1568763696

Lake Diabetes Supply, Inc is a Health Educator in Melbourne, Florida. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

508 N Harbor City Blvd
Melbourne, FL 32935-6838
Phone: (321) 255-9800
Fax: (321) 751-1145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Educator (primary) Taxonomy 174H00000X

Record details

NPI number1568763696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Hennessy — President · (321) 255-9800
NPI enumeratedNovember 5, 2010
Last updated in NPPESNovember 5, 2010
Mailing address508 N Harbor City Blvd, Melbourne, FL 32935-6838

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