Organization
HEALTHY BODY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT G IACONO (OWNER)
(504) 952-1539
Entity
Organization
Contact information
Practice address
1733 UNIVERSITY AVE STE A, OXFORD, MS 38655-4196
(504) 952-1539
Mailing address
119 SAUVE ROAD, RIVER RIDGE, LA 70123
(504) 952-1539
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
05/29/2024
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