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Organization
M.D. WEIGHT LOSS, LLC
Active
Organization
M.D. WEIGHT LOSS, LLC
Active
Other names
Nuviva Medical Weight Loss of Sarasota
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN DAVIS (OWNER)
(941) 355-5677
Entity
Organization
Contact information
Practice address
8450 COOPER CREEK BLVD STE 102, UNIVERSITY PARK, FL 34201-2018
(941) 355-5677
Mailing address
8450 COOPER CREEK BLVD STE 102, UNIVERSITY PARK, FL 34201-2018
(941) 355-5677
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
NULL
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
11/12/2013
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