Organization
ADVANCED MEDICAL WEIGHTLOSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY CHAD LOVAAS M.D. (PRESIDENT)
(772) 463-2344
Entity
Organization
Contact information
Practice address
104 SE LONITA ST, STUART, FL 34994-3447
(772) 463-2344
(772) 463-9565
Mailing address
104 SE LONITA ST, STUART, FL 34994-3447
(772) 463-2344
(772) 463-9565
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME40126
FL
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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