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Individual
WALDA LORA WEEKES
Active
Individual
WALDA LORA WEEKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105378
FL
363AS0400X
Surgical Physician Assistant
PA9105378
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001873500
—
FL
01
—
CZ784X
FL MEDICARE
FL
Enumeration date
03/08/2010
Last updated
01/11/2023
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