Organization
INNOVATIVE GX FLORIDA , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX O SOLANO MD (MEDICAL DIRECTOR)
(561) 235-3883
Entity
Organization
Contact information
Practice address
4805 NW 2ND AVE, BOCA RATON, FL 33431-4141
(561) 235-3883
(866) 337-6895
Mailing address
4805 NW 2ND AVE, BOCA RATON, FL 33431-4141
(561) 235-3883
(866) 337-6895
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800009934
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116503300
—
FL
Enumeration date
06/24/2006
Last updated
02/07/2025
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