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

Lake Diabetes Supply, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1861487191

Lake Diabetes Supply, Inc is a Durable Medical Equipment & Medical Supplies in Daytona Beach Shores, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
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

2555 S Atlantic Ave Ste 1205
Daytona Beach Shores, FL 32118-5546
Phone: (386) 304-5941
Fax: (386) 304-5941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X (FL)

Record details

NPI number1861487191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Hartwell — President · (386) 304-5941
NPI enumeratedSeptember 13, 2005
Last updated in NPPESJuly 21, 2022
Mailing address508 N Harbor City Blvd, Melbourne, FL 32935-6838

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