Organization
FORT MYERS NUVIVA MEDICAL WEIGHT LOSS INC
Active
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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