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Organization
INSTITUTE OF PHYSIOLOGIC INSULIN RESENSITIZATION LLC
Active
Organization
INSTITUTE OF PHYSIOLOGIC INSULIN RESENSITIZATION LLC
Active
Parent organization
DIABETIC CENTER OF SOUTH FLORIDA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIABETIC CENTER OF SOUTH FLORIDA
Authorized official
HENRY ODAZIE (CREDENTIALING MANAGER)
(954) 669-0401
Entity
Organization
Contact information
Practice address
3800 W BROWARD BLVD STE 101, FORT LAUDERDALE, FL 33312-1018
(954) 440-0983
Mailing address
3800 W BROWARD BLVD STE 101, FORT LAUDERDALE, FL 33312-1018
(954) 440-0983
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
12/29/2025
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