Individual
ALEXIS EYVONNE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 15TH ST, PANAMA CITY, FL 32405-5400
(850) 522-4485
Mailing address
525 E 15TH ST, PANAMA CITY, FL 32405-5400
(850) 522-4485
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
246RP1900X
Phlebotomy Technician
INST4028826203
FL
246RP1900X
Phlebotomy Technician
Primary
NAPTP8060680021
FL
Other
Enumeration date
01/04/2018
Last updated
05/01/2026
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