NPI | 1013414572 |
---|---|
Other Name | ESSEX COUNTY WEIGHTLOSS, LLC |
Entity Type | Organization |
Authorized Contact | JODI DESPOY Manager 813-228-6334 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2018-04-11 |
Last Update Date | 2023-06-26 |