| Medi Weightloss | |
|
26236 Us Highway 19 N Clearwater FL 33761-3580 | |
| (727) 953-3599 | |
| (727) 953-3608 |
| Full Name | Medi Weightloss |
|---|---|
| Speciality | Family Medicine |
| Location | 26236 Us Highway 19 N, Clearwater, Florida |
| Authorized Official Name and Position | Nicole Ilene Balkcom (OWNER) |
| Authorized Official Contact | 7279533599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medi Weightloss 26236 Us Highway 19 N Clearwater FL 33761-3580 Ph: (727) 953-3599 | Medi Weightloss 26236 Us Highway 19 N Clearwater FL 33761-3580 Ph: (727) 953-3599 |
| NPI Number | 1629875034 |
|---|---|
| Provider Enumeration Date | 02/25/2025 |
| Last Update Date | 02/25/2025 |
| Certification Date | 02/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629875034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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