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Organization
NMS WEIGHTLOSS CLINIC II LLC
Active
Organization
NMS WEIGHTLOSS CLINIC II LLC
Active
Other names
Medi Weightloss Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BLOY (CFO)
(239) 333-0828
Entity
Organization
Contact information
Practice address
90 CYPRESS WAY E, SUITE 45, NAPLES, FL 34110-9275
(239) 325-1633
(239) 325-1630
Mailing address
6150 DIAMOND CENTRE COURT, BLDG #400, FORT MYERS, FL 33912
(239) 333-0828
(239) 561-9188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L07000111368
FL
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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