Organization
CLEARWATER WEIGHTLOSS, LLC
Active
Other names
Medi Weightloss
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD ZBELLA MD (PRESIDENT)
(727) 726-6338
Entity
Organization
Contact information
Practice address
2454 N MCMULLEN BOOTH RD, SUITE 601, CLEARWATER, FL 33759-1353
(727) 726-6338
(727) 796-8764
Mailing address
2454 N MCMULLEN BOOTH RD, SUITE 601, CLEARWATER, FL 33759-1353
(727) 726-6338
(727) 796-8764
Taxonomy
Speciality
Code
Description
License number
State
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
Primary
ME 48354
FL
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
ME 71673
FL
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
ME 48354
FL
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
ME 71673
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056917800
—
FL
01
—
D20727
UPIN
FL
01
—
G92346
UPIN
FL
01
—
ME 48354
LICENSE
FL
01
—
ME 71673
LICENSE
FL
Enumeration date
05/10/2013
Last updated
06/17/2016
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