| Live And Look Good Wellness And Weight Loss Center | |
|
1520 N John Young Pkwy Kissimmee FL 34741-3219 | |
| (407) 518-7700 | |
| Not Available |
| Full Name | Live And Look Good Wellness And Weight Loss Center |
|---|---|
| Speciality | Clinic/center - Rehabilitation |
| Location | 1520 N John Young Pkwy, Kissimmee, Florida |
| Authorized Official Name and Position | Dauwd Basiyr Medan (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 4075187700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live And Look Good Wellness And Weight Loss Center 1520 N John Young Pkwy Kissimmee FL 34741-3219 Ph: (407) 518-7700 | Live And Look Good Wellness And Weight Loss Center 1520 N John Young Pkwy Kissimmee FL 34741-3219 Ph: (407) 518-7700 |
| NPI Number | 1245382043 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245382043 | NPI | - | NPPES |
| 28914 | Other | FL | BLUE CROSS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME69749 (Florida) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | ME69749 (Florida) | Primary |
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