MWL-PB-BR-LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MWL-PB-BR-LLC

Practice address

2466 E Commercial Blvd Ste 101
Fort Lauderdale, FL 33308-4011

Phone

(754) 216-7177

NPI assigned

Mar 2, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Melissa Sommerville

Title

Owner

Phone

(407) 383-3848

Specialties & licenses 3

Addresses

Other names 1

• Medi Weightloss 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

Practitioners 1

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

• Sahar Elhadary

  • Family Nurse Practitioner
  • Boca Raton, FL
  • NPI 1174335764
  NPD (past)

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1578210332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 E COMMERCIAL BLVD STE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084011",
            "telephone_number": "754-216-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 E COMMERCIAL BLVD STE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084011",
            "telephone_number": "754-216-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MWL-PB-BR-LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "SOMMERVILLE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-383-3848",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi Weightloss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Muscle Therapy LLC
• Jeffrey Irvin Musgrove, PSY.D.
• Muhammad R Mustafa, MD
• Carroll Claudette Muszkiewicz, LCSW
• Valeria Lopez Muzzetti, LMFT
• My Caregiver & Personal Assistant LLC
• My Dentist of Fort Lauderdale PLLC
• My Live Health Inc
• My Town Medical Supplies LLC
• Mycelium Pharmacy LLC

• Internal Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.