Florida Weight Loss Llc

LBN: Florida Weight Loss Llc
Florida Weight Loss Llc is an health care organization with primary practice located at 1590 79Th Ave N , Saint Petersburg FL 33702-4039. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as the primary health care specialty. Florida Weight Loss Llc can be contacted via phone (941) 705-2210, or through Fresta, Nicole M via phone (941) 705-2210.

Contact Information

Primary practice address
1590 79Th Ave N Saint Petersburg FL 33702-4039
Phone: (941) 705-2210
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fresta, Nicole M Registered Dietitian (RD)
Phone: (941) 705-2210

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1801407804
LBN Legal business name Florida Weight Loss Llc
DBA Doing business as
Authorized official Fresta, Nicole M Registered Dietitian (RD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2020
Last updated Aug 12th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801407804 NPPES
Florida MEDICAID 1487264339

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