Individual
DR. JAMES ROBERT WEAVER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1900 MASON AVE, SUITE 100, DAYTONA BEACH, FL 32117-5103
(386) 274-5525
(386) 274-5585
Mailing address
2011 ADMIRALTY BLVD, ROCKLEDGE, FL 32955-5216
(321) 632-0808
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2891
FL
Other
Enumeration date
04/20/2007
Last updated
12/09/2008
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