Organization
OLDE NAPLES NUVIVA MEDICAL WEIGHT LOSS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX JOSEPH (CEO)
(239) 466-4007
Entity
Organization
Contact information
Practice address
201 8TH ST S, 103, NAPLES, FL 34102-6107
(239) 384-9115
Mailing address
201 8TH ST S, 103, NAPLES, FL 34102-6107
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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