OrganizationActive
A1 Diabetes & Medical Supply, Inc.
NPI 1366436107 · Durable Medical Equipment & Medical Supplies · Eustis, FL
Provider details
- NPI number
- 1366436107
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Michael Hennessy, President(321) 255-9800
Specialties & taxonomies
Suppliers
Practice location
636 S Bay St
Eustis, FL 32726-4860
Phone: (352) 589-1177
Fax: (352) 589-0629
Approximate (ZIP-level) locationGet directions
Mailing address
2092 Sarno Rd
Melbourne, FL 32935-3077
Other names (DBA / former)
- Former legal business name
- Lake Diabetes & Medical Supply, Inc.
Registry dates
- Enumerated
- 2005-09-08
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.