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INNOVATIVE DIABETIC SOLUTIONS, PLLC - Florida Company Profile

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Company Details

Entity Name: INNOVATIVE DIABETIC SOLUTIONS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Aug 2023 (2 years ago)
Document Number: L23000374089
FEI/EIN Number 93-1464741
Address: 660 GLADES ROAD, 240, BOCA RATON, FL, 33431--646, PB
Mail Address: 660 GLADES ROAD, 240, BOCA RATON, FL, 33431, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CONLEN RICHARD A Authorized Member 660 GLADES ROAD, SUITE 240, BOCA RATON, FL, 33431
CONLEN RICHARD AMD Agent 660 GLADES ROAD, BOCA RATON, FL, 33431

National Provider Identifier

NPI Number:
1124712054
Certification Date:
2024-07-09

Authorized Person:

Name:
DR. RICHARD ALEXIS CONLEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5613382176
Fax:
5613382178

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-07-15 660 GLADES ROAD, 240, BOCA RATON, FL 33431--646 PB -

Documents

Name Date
ANNUAL REPORT 2024-07-15
Florida Limited Liability 2023-08-09

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Date of last update: 03 Aug 2025

Sources: Florida Department of State