OrganizationActive
Diabetic Shoe Source Inc.
NPI 1881056836 · Durable Medical Equipment & Medical Supplies · Debary, FL
Provider details
- NPI number
- 1881056836
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Anthony Rivera, President(407) 323-5093
- License
- NOT REQUIRED (FL)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
156 S Charles Richard Beall Blvd
Suite 3
Debary, FL 32713-3273
Phone: (407) 323-5093
Fax: (407) 386-8074
Street-level locationGet directions
Mailing address
156 S Charles Richard Beall Blvd
Debary, FL 32713-3273
Registry dates
- Enumerated
- 2016-03-28
- Last updated
- 2016-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.