Maulorico McFadden Holding Co LLC

Primary specialty

Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X

Legal business name

MAULORICO MCFADDEN HOLDING CO LLC

Doing business as

Medi Weightloss Clinics of Lakeland

Practice address

3234 S Florida Ave Ste F
Lakeland, FL 33803-4564

Phone

(863) 619-9740

Fax

(863) 644-4178

NPI assigned

Feb 18, 2025

Organization subpart

Yes

Parent organization

MAULORICO MCFADDEN HOLDING CO LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Katrina Davis Hicks

Title

Administrator

Phone

(863) 619-9740

Specialties & licenses 1

Addresses

Other names 1

• Medi Weightloss Clinics of Lakeland Doing business as

Part of

Maulorico McFadden Holding Co LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory McFadden, MD

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1164609855
  NPD (past)

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1346045739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3234 S FLORIDA AVE STE F",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034564",
            "telephone_number": "863-619-9740",
            "fax_number": "863-644-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 S FLORIDA AVE STE F",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034564",
            "telephone_number": "863-619-9740",
            "fax_number": "863-644-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAULORICO MCFADDEN HOLDING CO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAULORICO MCFADDEN HOLDING CO LLC",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS HICKS",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-619-9740",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi Weightloss Clinics of Lakeland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittney Mattingly, AUD
• Nathan Mattix
• Amy Maturen, LMFT
• Adora Elena Mauborgne, MD
• Desann Marie Maul, DPT
• Maxim Healthcare Services, Inc
• Jennifer Maxius
• Reanna Maxwell, ARNP
• May Forest Haven LLC
• Katie Zayas May, AU.D.

• Obesity Medicine (Internal Medicine) Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Obesity Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.