Organization
WILLIAM O DEWEESE MD PA
Active
Organization
WILLIAM O DEWEESE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM O DEWEESE M.D. (PHYSICIAN/OWNER)
(813) 971-8101
Entity
Organization
Contact information
Practice address
13801 BRUCE B DOWNS BLVD, SUITE 403, TAMPA, FL 33613-3946
(813) 971-8101
(813) 971-3172
Mailing address
13801 BRUCE B DOWNS BLVD, SUITE 403, TAMPA, FL 33613-3946
(813) 971-8101
(813) 971-3172
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME0025687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508416-002
CIGNA
FL
05
—
270374200
—
FL
01
—
29889
BCBS
FL
01
—
4129349
AETNA PROVIDER NUMBER
FL
Enumeration date
08/30/2005
Last updated
09/20/2010
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