Individual
DR. JAMIE ELISE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1250 PINE RIDGE RD, SUITE 203, NAPLES, FL 34108-8913
(239) 261-2663
(239) 262-5633
Mailing address
1250 PINE RIDGE RD, SUITE 203, NAPLES, FL 34108-8913
(239) 261-2663
(239) 262-5633
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
1646
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3364
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65082
BLUE CROSS BLUE SHIELD FLORIDA
FL
01
—
PO3364
FL PODIATRIC LICENSE
FL
Enumeration date
01/16/2007
Last updated
10/09/2013
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