Organization
MW WELLNESS XVII, LLC
Active
Other names
Cheshire Weightloss LLC, Medi-Weightloss
Organization subpart
No
Provider details
NPI number
Authorized official
JODI DESPOY (MANAGER)
(813) 228-6334
Entity
Organization
Contact information
Practice address
4407 OLD SHELL RD STE D, MOBILE, AL 36608-1924
(813) 228-6334
Mailing address
509 S HYDE PARK AVE, TAMPA, FL 33606-2266
(813) 228-6334
(813) 228-6763
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
BL007515-01-2015
SC
Other
Enumeration date
06/24/2015
Last updated
06/26/2023
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