LAKE DIABETES SUPPLY, INC – Durable Medical Equipment & Medical Supplies, NPI 1326033648

LAKE DIABETES SUPPLY, INC is a healthcare provider. based in Melbourne, Florida. specializing in Durable Medical Equipment & Medical Supplies. The organization holds a License No. ========= (FL). The NPI Number for LAKE DIABETES SUPPLY, INC is 1326033648

Main info

Organization
Name
LAKE DIABETES SUPPLY, INC
NPI
1326033648
Phone
(321) 255-9800
Address
508 N HARBOR CITY BLVD
Authorized Official
MR. RICHARD B. HARTWELL PRESIDENT
Enumeration Date
13 September 2005
Last Update Date
21 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LAKE DIABETES SUPPLY, INC

  • 508, North Harbor City Boulevard, Eau Gallie, Melbourne, Brevard County, Florida, 32935, United States

    MELBOURNE, FL 329356838

    Phone: (321) 255-9800

    Fax: (321) 751-1145

    Type: Mailing

  • 2150, Collier Avenue, Fort Myers, Lee County, Florida, 33901, United States

    SUITE R

    FORT MYERS, FL 339018129

    Phone: (239) 275-8080

    Fax: (239) 274-8161

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32935)

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Reviews

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Frequently asked questions

How do payers reference LAKE DIABETES SUPPLY, INC?
For LAKE DIABETES SUPPLY, INC, use NPI 1326033648 as the unique 10-digit identifier.
Active or inactive — what applies to LAKE DIABETES SUPPLY, INC?
You should see LAKE DIABETES SUPPLY, INC as active in CMS-hosted NPPES data.
What kind of doctor is LAKE DIABETES SUPPLY, INC?
LAKE DIABETES SUPPLY, INC is associated with Durable Medical Equipment & Medical Supplies in the directory — Clinical services aligned with this taxonomy classification.
Is LAKE DIABETES SUPPLY, INC located near Melbourne?
LAKE DIABETES SUPPLY, INC currently maps to Melbourne, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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