Provider Demographics
NPI:1124456678
Name:DIABETES & HEALTH EDUCATION INC
Entity type:Organization
Organization Name:DIABETES & HEALTH EDUCATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS-SYMANKI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:772-388-4988
Mailing Address - Street 1:7760 BAY ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-3427
Mailing Address - Country:US
Mailing Address - Phone:772-388-4988
Mailing Address - Fax:
Practice Address - Street 1:7760 BAY ST
Practice Address - Street 2:SUITE 8
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-3427
Practice Address - Country:US
Practice Address - Phone:772-388-4988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-19
Last Update Date:2013-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2196152163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Single Specialty