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Individual
MS. PATRICIA TROW WEAVER
Active
Individual
MS. PATRICIA TROW WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2143
FL
363AM0700X
Medical Physician Assistant
PA 2143
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000793600
—
FL
01
—
Y00SC
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/02/2007
Last updated
10/01/2010
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