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Organization
HEALTHY NU LIFE
Active
Organization
HEALTHY NU LIFE
Active
Other names
Nuviva Medical Weight Loss of Brandon
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY BARKER (OWNER)
(813) 345-4511
Entity
Organization
Contact information
Practice address
1602 OAKFIELD DR, SUITE 101, BRANDON, FL 33511-0827
(813) 345-4511
Mailing address
1602 OAKFIELD DR, SUITE 101, BRANDON, FL 33511-0827
(813) 345-4511
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
08/26/2013
Last updated
08/26/2013
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