# M.D. WEIGHT LOSS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Nuviva Medical Weight Loss of Sarasota
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093144578
- **Authorized official:** DUSTIN DAVIS (OWNER)
- **Authorized official phone:** (941) 355-5677

## Contact information

- **Practice address:** 8450 COOPER CREEK BLVD STE 102, UNIVERSITY PARK, FL 34201-2018
- **Practice address phone:** (941) 355-5677
- **Mailing address:** 8450 COOPER CREEK BLVD STE 102, UNIVERSITY PARK, FL 34201-2018
- **Mailing address phone:** (941) 355-5677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2013
- **Last updated:** 11/12/2013