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Individual

LAURA WEATHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2 TAMPA GENERAL CIR, MDC 15, TAMPA, FL 33606-3603
(813) 259-8700
(813) 250-2101
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-2812

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME58371
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
056455900
FL
01
14374
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/10/2006
Last updated
03/23/2026
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