| NPI | 1669606323 |
|---|---|
| Doing Business As | DIRECT DIABETIC SOURCE |
| Entity Type | Organization |
| Authorized Contact | STEVE KRAUSE President 561-391-5470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313637) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2011-04-20 |