Individual
DR. MARTIN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5400 N FEDERAL HWY STE 102, FORT LAUDERDALE, FL 33308-3203
(954) 866-9699
Mailing address
5400 N FEDERAL HWY STE 102, FORT LAUDERDALE, FL 33308-3203
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
86393
GA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME141148
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/23/2016
Last updated
08/31/2021
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