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MEDI-WEIGHTLOSS CLINIC OF JUPITER NPI 1619322823


NPI Information

NPI: 1619322823
Provider Name: MEDI-WEIGHTLOSS CLINIC OF JUPITER
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4600 MILITARY TRL
SUITE 114
JUPITER, FL
ZIP 33458
Phone: (561) 776-5252
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MEDI-WEIGHTLOSS CLINIC OF JUPITER is a primary care clinic center in Jupiter, FL. MEDI-WEIGHTLOSS CLINIC OF JUPITER NPI is 1619322823. The provider is registered as an organization entity type.

The provider's business location address is:

4600 MILITARY TRL
SUITE 114
JUPITER, FL
ZIP 33458-810
Phone: (561) 776-5252

The provider's authorized official is Richard Delucia .
The authorized official title is Owner and has the following contact phone number (561) 776-5252.

The enumeration date for this NPI number is 4/26/2016 and was last updated on 12/3/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11528462454OTHERFLORIDANPI EMELY WINCHESTER
21528462454OTHERFLORIDANPI NUMBER CABRINI FARANO
310033835604OTHERFLORIDANPI NUMBER RICHARD DELUCIA MD
41407845613OTHERFLORIDANPI NUMBER DANA BILNOSKI, DO
51417335456OTHERFLORIDANPI NUMBER AMANDA CORDKING, APRN

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: 4/28/2024

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