Organization
JED P WEBER, M.D.,LLC
Active
Other names
Coastal Neurosurgery & Spine
Organization subpart
No
Provider details
NPI number
Authorized official
JED PAUL WEBER M.D. (OWNER)
(727) 734-9088
Entity
Organization
Contact information
Practice address
646 VIRGINIA ST, SUITE 701, DUNEDIN, FL 34698-6612
(727) 734-9088
(727) 210-1198
Mailing address
646 VIRGINIA ST, SUITE 701, DUNEDIN, FL 34698-6612
(727) 734-9088
(727) 210-1198
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA2726
FL
363AM0700X
Medical Physician Assistant
Primary
PA9102790
FL
363AS0400X
Surgical Physician Assistant
PA2726
FL
363AS0400X
Surgical Physician Assistant
PA9102790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q0175
PTAN
FL
Enumeration date
06/18/2006
Last updated
06/27/2011
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