Organization
MAULORICO MCFADDEN HOLDING CO LLC
Active
Parent organization
MAULORICO MCFADDEN HOLDING CO LLC
Other names
Medi Weightloss Clinics of Lakeland
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAULORICO MCFADDEN HOLDING CO LLC
Authorized official
MRS. KATRINA DAVIS HICKS (ADMINISTRATOR)
(863) 619-9740
Entity
Organization
Contact information
Practice address
3234 S FLORIDA AVE STE F, LAKELAND, FL 33803-4564
(863) 619-9740
(863) 644-4178
Mailing address
3234 S FLORIDA AVE STE F, LAKELAND, FL 33803-4564
(863) 619-9740
(863) 644-4178
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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