Individual
KELLY ANNE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18659 TAMIAMI TRL, NORTH PORT, FL 34287-7388
(941) 423-5035
(941) 423-5034
Mailing address
2453 BEE RIDGE RD, SARASOTA, FL 34239-6304
(941) 955-8076
(941) 955-0453
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN9263549
FL
Other
Enumeration date
09/07/2017
Last updated
08/12/2025
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