NPI | 1356723563 |
---|---|
Doing Business As | MEDI-WEIGHTLOSS |
Former Legal Business Name | CHESHIRE WEIGHTLOSS LLC |
Entity Type | Organization |
Authorized Contact | JODI DESPOY Manager 813-228-6334 |
Organization Subpart ? | No |
Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: SC BL007515-01-2015) |
Enumeration Date | 2015-06-24 |
Last Update Date | 2023-06-26 |