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ADVANCED DIABETES TREATMENT CENTERS LLC NPI 1326065038


NPI Information

NPI: 1326065038
Provider Name: ADVANCED DIABETES TREATMENT CENTERS LLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
1601 CLINT MOORE RD
SUITE 178
BOCA RATON, FL
ZIP 33487
Phone: (561) 939-0350
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ADVANCED DIABETES TREATMENT CENTERS LLC is an endocrinology and diabetes and metabolism internal medicine in Boca Raton, FL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. ADVANCED DIABETES TREATMENT CENTERS LLC NPI is 1326065038. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1601 CLINT MOORE RD
SUITE 178
BOCA RATON, FL
ZIP 33487-768
Phone: (561) 939-0350
Fax: (561) 939-0351

The provider's authorized official is Paul James Mahowald .
The authorized official title is Coo and has the following contact phone number (561) 995-7950.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 1/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K3573MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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