Advanced Medical Weightloss

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME40126 Issued in FL

Legal business name

ADVANCED MEDICAL WEIGHTLOSS

Practice address

104 SE Lonita St
Stuart, FL 34994-3447

Phone

(772) 463-2344

Fax

(772) 463-9565

NPI assigned

Jul 12, 2013

Last updated

Jul 12, 2013By 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. Gregory Chad Lovaas, M.D.

Title

President

Phone

(772) 463-2344

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1669813192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SE LONITA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943447",
            "telephone_number": "772-463-2344",
            "fax_number": "772-463-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SE LONITA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943447",
            "telephone_number": "772-463-2344",
            "fax_number": "772-463-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL WEIGHTLOSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "LOVAAS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-463-2344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME40126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Stuart, FL
• Providers in Stuart, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.