| Healthy Body LLC | |
|
1733 University Ave Ste A Oxford MS 38655-4196 | |
| (504) 952-1539 | |
| Not Available |
| Full Name | Healthy Body LLC |
|---|---|
| Speciality | Preventive Medicine - Obesity Medicine |
| Location | 1733 University Ave Ste A, Oxford, Mississippi |
| Authorized Official Name and Position | Vincent G Iacono (OWNER) |
| Authorized Official Contact | 5049521539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Body LLC 119 Sauve Road River Ridge LA 70123 Ph: (504) 952-1539 | Healthy Body LLC 1733 University Ave Ste A Oxford MS 38655-4196 Ph: (504) 952-1539 |
| NPI Number | 1952177412 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 05/29/2024 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952177412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | (NU) | Secondary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | (NU) | Primary |
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