M.D. WEIGHT LOSS, LLC


Address: 8450 Cooper Creek Blvd Ste 102, University Park, FL 34201-2018
Phone: 9413555677

M.D. WEIGHT LOSS, LLC (NPI# 1093144578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093144578
Entity Type Organization
Organization Name M.D. WEIGHT LOSS, LLC
Other Organization Name NUVIVA MEDICAL WEIGHT LOSS OF SARASOTA
Practice Address 8450 Cooper Creek Blvd Ste 102
University Park
FL 34201-2018
Practice Telephone 9413555677
Mailing Telephone 9413555677
Enumeration Date 2013-11-05
Last Update Date 2013-11-12
Authorized Official Name DUSTIN DAVIS (OWNER)
Authorized Official Telephone 9413555677
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QB0002X Family Medicine
Specialization: Obesity Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Nuviva Medical Weight Loss of Sarasota Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations MED-TEAM WEIGHT LOSS, LLC 1084 Cromwell Ave, Rocky Hill, CT 06067

Office Location

Street Address 8450 COOPER CREEK BLVD STE 102
City UNIVERSITY PARK
State FL
Zip Code 34201-2018

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144512831 Advance Healthcare Clinic, LLC Acupuncturist 8480 Cooper Creek Boulevard, Suite 102, University Park, FL 34201 2011-05-12
1811174253 University Spinal Care Center Chiropractor 8441 Honore Ave, Bradenton, FL 34201 2008-01-29
1720152820 Usv Optical Inc. Eyewear Supplier (Equipment, not the service) 8085 Cooper Creek Blvd, Sarasota, FL 34201 2006-11-20
1053362764 Bracciano Dermatology Plc Dermatology 8430 Cooper Creek Blvd, Suite 102, University Park, FL 34201 2006-05-15
1669631586 Aaron D Kennedy Dentist 8198 Tourist Center Dr, Bradenton, FL 34201-2000 2008-06-05
1467014324 Sara Sardano Dentist 8198 Tourist Center Dr, Bradenton, FL 34201-2000 2019-07-01
1508177932 Aaron Kennedy, Dmd, Pl Dentist 8198 Tourist Center Dr, Bradenton, FL 34201-2000 2010-06-30
1194983890 Megan Lyn Davis Massage Therapist 8109 Cooper Creek Blvd, University Park, FL 34201-2004 2008-05-29
1811242241 John Tucker Massage Therapist 8109 Cooper Creek Blvd, University Park, FL 34201-2004 2012-07-23
1629323019 Melissa Dawn King Massage Therapist 8109 Cooper Creek Blvd, University Park, FL 34201-2004 2012-07-21
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Taxonomy Information

Taxonomy Code 207QB0002X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Obesity Medicine

Taxonomy Definition

A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881295798 Palumbo Wellness LLC Family Medicine 26236 Us Highway 19 N, Clearwater, FL 33761-3580 2020-11-06
1336767532 Morteza Taeb Family Medicine 7301 Wiles Rd Ste 101, Coral Springs, FL 33067-4105 2020-07-14
1538507066 Fort Myers Nuviva Medical Weight Loss Inc Family Medicine 13450 Parker Commons Blvd, Suite 105, Fort Myers, FL 33912-1810 2013-06-06
1316286057 Stanley Eugene Rosewater Family Medicine 1217 Ewing Street, Clearwater, FL 33756 2013-01-31
1326680927 Recharge LLC Family Medicine 47 Sw 17th St, Ocala, FL 34471-8104 2019-10-15
1023581576 Island Weight Loss Family Medicine 1365 N Courtenay Pkwy, Merritt Island, FL 32953-4405 2019-01-08
1467944421 Latino Medicasl Center 111 Inc Family Medicine 3670 W Oakland Park Blvd, Lauderdale Lakes, FL 33311-1148 2018-06-05
1841644358 Jeremy D. Mcconnell, Md, Pa Family Medicine 5517 21st Ave W, Bradenton, FL 34209-5604 2016-04-20
1821471947 Deerfield Health Clinic, LLC Family Medicine 525 S Federal Hwy, Deerfield Beach, FL 33441-4153 2015-07-07
1144654260 Healthy Nu Life Family Medicine 1602 Oakfield Dr, Suite 101, Brandon, FL 33511-0827 2013-08-26
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Competitor

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City UNIVERSITY PARK
Zip Code 34201

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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