M.d. Weight Loss, Llc

NPI 1093144578 - Family Medicine - 207QB0002X

NPI Details
NPI 1093144578
Enumeration Date 11/05/2013
Last Updated 11/12/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DUSTIN DUSTIN
Position OWNER
Phone (941) 355-5677
Fax
Practice Location
8450 COOPER CREEK BLVD STE 102
UNIVERSITY PARK FL, 34201-2018, US
Phone (941) 355-5677
Fax
Business Location
8450 COOPER CREEK BLVD STE 102
UNIVERSITY PARK FL, 34201-2018, US
Phone (941) 355-5677
Fax
Toxanomy
Taxonomy Code 207QB0002X
License State
License Number
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According to our database, M.d. Weight Loss, Llc NPI is 1093144578, taxonomy code is 207QB0002X M.d. Weight Loss, Llc physically located at 8450 Cooper Creek Blvd Ste 102, University Park FL, 34201-2018. NPI Number 1033115704 has the healthcare provider type.

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1093144578 NPI number is provided on an as is basis without warranty of any kind. 1093144578 is maintained by the National Plan & Provider Enumeration System. The contents of M.d. Weight Loss, Llc are for informational purposes only.