Organization
ADVANCED DIABETES TREATMENT CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL JAMES MAHOWALD (COO)
(561) 995-7950
Entity
Organization
Contact information
Practice address
1601 CLINT MOORE RD, SUITE 178, BOCA RATON, FL 33487-2768
(561) 939-0350
(561) 939-0351
Mailing address
1601 CLINT MOORE RD, SUITE 178, BOCA RATON, FL 33487-2768
(561) 939-0350
(561) 939-0351
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
FL
Other
Enumeration date
07/17/2006
Last updated
01/13/2012
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