Individual
DR. JERRY L WEED JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3700 US 1 S, ST AUGUSTINE, FL 32086-7150
(904) 429-4736
Mailing address
130 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5776
(904) 547-2808
(904) 679-3169
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3003
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340377700
—
FL
Enumeration date
06/01/2006
Last updated
07/23/2014
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