NMS Weightloss Clinic I LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L06000097103 Issued in FL

Legal business name

NMS WEIGHTLOSS CLINIC I LLC

Doing business as

Medi Weightloss Clinics

Practice address

6150 Diamond Centre CT
BLDG #400
Fort Myers, FL 33912-4368

Phone

(239) 333-0828

Fax

(239) 561-9188

NPI assigned

Dec 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Peter Bloy

Title

Cfo

Phone

(239) 333-0828

Specialties & licenses 1

Addresses

Other names 1

• Medi Weightloss Clinics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1154796126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT",
            "address_2": "BLDG #400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124368",
            "telephone_number": "239-333-0828",
            "fax_number": "239-561-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT",
            "address_2": "BLDG #400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124368",
            "telephone_number": "239-333-0828",
            "fax_number": "239-561-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMS WEIGHTLOSS CLINIC I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "BLOY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "239-333-0828",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "L06000097103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi Weightloss Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alberto Arcenio Nieves Sanchez
• Night Owl Taxi LLC
• Jessica Sergevna Nikitin, RRNA
• Nazma Niles, LCSW
• Izabella Nicole Nill Gomez, MD
• Richard D. Noah, LCSW
• Casey Nobile, LCSW
• John Gardiner Noble, M.D.
• Melissa J Noblitt, NP
• Adrianne N Noboa, CRNA

• Family Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.