Individual
MR. DANIEL ROBERT WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C. P.A.
Contact information
Practice address
542184 S KINGS RD, SPACE 3B, CALLAHAN, FL 32011
(904) 879-2209
Mailing address
PO BOX 1107, CALLAHAN, FL 32011-1107
(904) 879-2209
(904) 879-2209
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0001521
FL
Other
Enumeration date
04/28/2006
Last updated
07/03/2017
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