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Individual

ELIZABETH MARIE WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNFA

Contact information

Practice address
29277 US HIGHWAY 19 N, CLEARWATER, FL 33761-2102
(877) 872-5788
(866) 462-7445
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(713) 779-9800

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN 9189210
FL
246ZC0007X
Surgical Assistant
363AS0400X
Surgical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3122662 00
FL
Enumeration date
11/13/2007
Last updated
10/31/2018
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