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
—
—
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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