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Organization
INNOVATIVE DIABETIC SOLUTIONS PLLC
Active
Organization
INNOVATIVE DIABETIC SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALEXIS CONLEN MD (OWNER)
(561) 368-2005
Entity
Organization
Contact information
Practice address
660 GLADES RD STE 240, BOCA RATON, FL 33431-6466
(561) 368-2005
(561) 338-2178
Mailing address
4317 INTRACOASTAL DRIVE, HIGHLAND BEACH, FL 33487
(561) 715-2493
(561) 338-2176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
07/26/2024
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