# HEALTHY NU LIFE

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

## Provider details

- **NPI number:** 1144654260
- **Authorized official:** JIMMY BARKER (OWNER)
- **Authorized official phone:** (813) 345-4511

## Contact information

- **Practice address:** 1602 OAKFIELD DR, SUITE 101, BRANDON, FL 33511-0827
- **Practice address phone:** (813) 345-4511
- **Mailing address:** 1602 OAKFIELD DR, SUITE 101, BRANDON, FL 33511-0827
- **Mailing address phone:** (813) 345-4511

## 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:** 08/26/2013
- **Last updated:** 08/26/2013