| NPI | 1629875034 |
|---|---|
| Doing Business As | MEDI WEIGHTLOSS |
| Entity Type | Organization |
| Authorized Contact | NICOLE ILENE BALKCOM Owner 727-953-3599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |