Individual
MR. SEAN MATHEW WEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
744 E BURGESS RD, SUITE A105, PENSACOLA, FL 32504-6227
(850) 384-1023
Mailing address
1153 WILLOWOOD CIR, GULF BREEZE, FL 32563-5432
(850) 384-1023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA-32816
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1521
BCBS
FL
Enumeration date
12/12/2008
Last updated
12/12/2008
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