| NPI | 1912450008 |
|---|---|
| Doing Business As | MEDI WEIGHTLOSS LIVINGSTON |
| Entity Type | Organization |
| Authorized Contact | WENDIE NONCLERC Director Of Insurance Development 813-228-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |