Individual
MR. JOSHUA N WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 NE 9TH ST, CRYSTAL RIVER, FL 34428-3621
(352) 422-5416
(352) 794-3030
Mailing address
PO BOX 1902, CRYSTAL RIVER, FL 34423-1902
(352) 422-5416
(352) 794-3030
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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