| M.d. Weight Loss, Llc | |
|
8450 Cooper Creek Blvd Ste 102 University Park FL 34201-2018 | |
| (941) 355-5677 | |
| Not Available |
| Full Name | M.d. Weight Loss, Llc |
|---|---|
| Speciality | Family Medicine - Obesity Medicine |
| Location | 8450 Cooper Creek Blvd Ste 102, University Park, Florida |
| Authorized Official Name and Position | Dustin Davis (OWNER) |
| Authorized Official Contact | 9413555677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M.d. Weight Loss, Llc 8450 Cooper Creek Blvd Ste 102 University Park FL 34201-2018 Ph: (941) 355-5677 | M.d. Weight Loss, Llc 8450 Cooper Creek Blvd Ste 102 University Park FL 34201-2018 Ph: (941) 355-5677 |
| NPI Number | 1093144578 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 11/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093144578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | (* (Not Available)) | Primary |
Family Medicine Specialists, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7978 Cooper Creek Blvd, Suite 210, University Park, FL 34201 Phone: 941-359-9255 Fax: 941-351-1504 |