# NAUGATUCK VALLEY WEIGHT LOSS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medi-Weightloss
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386040186
- **Authorized official:** JODI DESPOY (MANAGER)
- **Authorized official phone:** (813) 228-6334

## Contact information

- **Practice address:** 109 BOSTON POST RD, ORANGE, CT 06477-3235
- **Practice address phone:** (203) 891-0655
- **Practice address fax:** (866) 581-0408
- **Mailing address:** 509 S HYDE PARK AVE, TAMPA, FL 33606-2266
- **Mailing address phone:** (813) 228-6334
- **Mailing address fax:** (813) 228-6763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2014
- **Last updated:** 06/26/2023