Lake Diabetes & Medical Supply, Inc. – Durable Medical Equipment & Medical Supplies, NPI 1366436107

Lake Diabetes & Medical 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 & Medical Supply, Inc. is 1366436107

Main info

Organization
Name
Lake Diabetes & Medical Supply, Inc.
NPI
1366436107
Phone
(321) 255-9800
Address
2092 SARNO RD
Authorized Official
MR. MICHAEL E HENNESSY PRESIDENT
Enumeration Date
8 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
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Lake Diabetes & Medical Supply, Inc.

  • 2092, Sarno Road, Fountainhead North, Melbourne, Brevard County, Florida, 32935, United States

    MELBOURNE, FL 329353077

    Phone: (321) 255-9800

    Fax: (321) 751-1145

    Type: Mailing

  • 636, Bay Street, Eustis, Lake County, Florida, 32726, United States

    EUSTIS, FL 327264860

    Phone: (352) 589-1177

    Fax: (352) 589-0629

    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

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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

Where can patients find Lake Diabetes & Medical Supply, Inc.'s NPI?
You can confirm Lake Diabetes & Medical Supply, Inc. with NPI 1366436107; it appears in the national provider directory.
Is Lake Diabetes & Medical Supply, Inc. active in the national directory?
Lake Diabetes & Medical Supply, Inc.'s public NPI profile is in an active state.
What kind of provider is Lake Diabetes & Medical Supply, Inc.?
The page reflects Durable Medical Equipment & Medical Supplies for Lake Diabetes & Medical Supply, Inc.. Clinical services aligned with this taxonomy classification.
Where does public data place Lake Diabetes & Medical Supply, Inc.?
The snapshot lists Melbourne, Florida for Lake Diabetes & Medical Supply, Inc.; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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