Healthcare Provider Details

I. General information

NPI: 1194682880
Provider Name (Legal Business Name): PREMIER WEIGHT LOSS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7880 NE 7TH CIR
OCALA FL
34479-8357
US

IV. Provider business mailing address

7880 NE 7TH CIR
OCALA FL
34479-8357
US

V. Phone/Fax

Practice location:
  • Phone: 859-302-6752
  • Fax: 859-972-0883
Mailing address:
  • Phone: 859-302-6752
  • Fax: 859-972-0883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATIE PIERCE
Title or Position: OWNER
Credential:
Phone: 859-302-6752