Advance Medical Weight Loss and Wellness Medicine,

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME101158 Issued in FL

Legal business name

ADVANCE MEDICAL WEIGHT LOSS AND WELLNESS MEDICINE,

Practice address

7601 N Federal Hwy
Suite 100a
Boca Raton, FL 33487-1657

Phone

(561) 989-1615

Fax

(561) 989-1618

NPI assigned

Aug 3, 2010

Last updated

Aug 3, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fadejimi Adelakun, MD

Title

Medical Director

Phone

(561) 989-1615

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1053625988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 N FEDERAL HWY",
            "address_2": "SUITE 100A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871657",
            "telephone_number": "561-989-1615",
            "fax_number": "561-989-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 N FEDERAL HWY",
            "address_2": "SUITE 100A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871657",
            "telephone_number": "561-989-1615",
            "fax_number": "561-989-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MEDICAL WEIGHT LOSS AND WELLNESS MEDICINE,",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "ADELAKUN",
        "authorized_official_first_name": "FADEJIMI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-989-1615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME101158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.