| Advanced Diabetes Treatment Centers Llc | |
|
1601 Clint Moore Rd Suite 178 Boca Raton FL 33487-2768 | |
| (561) 939-0350 | |
| (561) 939-0351 |
| Full Name | Advanced Diabetes Treatment Centers Llc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1601 Clint Moore Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Paul James Mahowald (COO) |
| Authorized Official Contact | 5619957950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Diabetes Treatment Centers Llc 1601 Clint Moore Rd Suite 178 Boca Raton FL 33487-2768 Ph: (561) 939-0350 | Advanced Diabetes Treatment Centers Llc 1601 Clint Moore Rd Suite 178 Boca Raton FL 33487-2768 Ph: (561) 939-0350 |
| NPI Number | 1326065038 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 01/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326065038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (Florida) | Primary |
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