Organization
FORT MYERS 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
13450 PARKER COMMONS BLVD, SUITE 105, FORT MYERS, FL 33912-1810
(239) 466-4007
Mailing address
13450 PARKER COMMONS BLVD, SUITE 105, FORT MYERS, FL 33912-1810
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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