| NPI | 1043951098 |
|---|---|
| Doing Business As | FLORIDA COAST WEIGHT LOSS CENTER |
| Entity Type | Organization |
| Authorized Contact | DARREN LOUIS PETERSON President 386-506-9281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-07-11 |