LEASE MODIFICATION AND EXTENSION AGREEMENT

Exhibit 10.65

LEASE MODIFICATION AND EXTENSION AGREEMENT

The parties, CPOS REALTY, LLC (hereinafter referred to as “Landlord”) and CERTIFIED DIABETIC SERVICES, INC. (hereinafter referred to as “Tenant”), hereby enter into this Lease Modification & Extension Agreement for that certain commercial lease dated January 25, 2002, between Landlord and Tenant, hereinafter refereed to as the “Lease,” by and between Landlord and Tenant with reference to the premises located at 3030 South Horseshoe Drive, Suites 100 and 200, Naples, Florida 34101, consisting of approximately 11,323 rentable square feet. This Lease Modification & Extension Agreement is hereby incorporated into and made a part of the Lease. All terms not otherwise defined in this Lease Modification and Extension Agreement shall have the meaning as ascribed thereto in the Lease. Any provision hereof shall control over any inconsistent provision of the Lease to which this Lease Modification and Extension Agreement is attached.

The terms and condi