Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Diabetic Solutions PLLC

Organization Family Medicine Physician · NPI 1124712054

Innovative Diabetic Solutions PLLC is a Family Medicine Physician in Boca Raton, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

660 Glades Rd Ste 240
Boca Raton, FL 33431-6466
Phone: (561) 368-2005
Fax: (561) 338-2178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1124712054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Conlen — Owner · (561) 368-2005
NPI enumeratedJune 5, 2023
Last updated in NPPESJuly 26, 2024
Certification dateJuly 9, 2024
Mailing address4317 Intracoastal Drive, Highland Beach, FL 33487

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