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Concierge Bariatrics

Surgery in Ocala, FL. Organization (NPI-2).

NPI number1982016267
StatusActive
Last updated in NPPESMay 22, 2014

Details

NPI
1982016267
Entity type
Organization (NPI-2)
Legal business name
Concierge Bariatrics
Organization subpart
No
Enumeration date
May 21, 2014
Last updated
May 22, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryME112612FLYes

Practice location

1630 Se 18th St
Unit 103
Ocala, FL 34471-5471

Phone 352-236-5809 · Fax 352-236-5461

Mailing address

1630 Se 18th St
Unit 103
Ocala, FL 34471-5471

Phone 352-236-5809 · Fax 352-236-5461

Authorized official

Reginald Griffin
President
3522365809

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