Provider Demographics
NPI:1871287144
Name:HARMONY WEIGHT LOSS, LLC
Entity type:Organization
Organization Name:HARMONY WEIGHT LOSS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DESNICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-618-0000
Mailing Address - Street 1:10203 COLLINS AVE UNIT 1205
Mailing Address - Street 2:
Mailing Address - City:BAL HARBOUR
Mailing Address - State:FL
Mailing Address - Zip Code:33154-1857
Mailing Address - Country:US
Mailing Address - Phone:312-618-0000
Mailing Address - Fax:
Practice Address - Street 1:10203 COLLINS AVE UNIT 1205
Practice Address - Street 2:
Practice Address - City:BAL HARBOUR
Practice Address - State:FL
Practice Address - Zip Code:33154-1857
Practice Address - Country:US
Practice Address - Phone:312-618-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty