NPI | 1508376450 |
---|---|
Doing Business As | MEDI-WEIGHTLOSS |
Entity Type | Organization |
Authorized Contact | JAMES TALANO Co Owner 239-784-2214 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME125307) |
Enumeration Date | 2017-10-05 |
Last Update Date | 2017-10-05 |