DIABETES & WEIGHT LOSS CENTER LLC NPI 1114654902

NPI Information

  • NPI: 1114654902
  • Provider Name: DIABETES & WEIGHT LOSS CENTER LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 10D2272493
  • Address: 1410 W BROADWAY ST STE 203
    OVIEDO, FL
    ZIP 32765
  • Phone: (407) 865-2716

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NPI Details

DIABETES & WEIGHT LOSS CENTER LLC is a family nurse practitioner in Oviedo, FL. DIABETES & WEIGHT LOSS CENTER LLC NPI is 1114654902. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1410 W BROADWAY ST STE 203
OVIEDO, FL
ZIP 32765-472
Phone: (407) 865-2716

The provider's authorized official is Adriel Perez .
The authorized official title is Mgr and has the following contact phone number (407) 890-1876.

The CLIA number assigned to this NPI record is 10D2272493 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2022 and was last updated on 11/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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