Individual
MARK E WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1645 COLONIAL BLVD, FORT MYERS, FL 33907-1101
(239) 278-4448
(239) 939-1286
Mailing address
1645 COLONIAL BLVD, FORT MYERS, FL 33907-1101
(239) 278-4448
(239) 939-1286
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00001857
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87996
BCBS
FL
Enumeration date
10/05/2005
Last updated
07/13/2011
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