Individual
JOHN L WEARE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
91550 OVERSEAS HWY, SUITE 209, TAVERNIER, FL 33070-2506
(305) 853-0558
(305) 853-0744
Mailing address
91550 OVERSEAS HWY, SUITE 209, TAVERNIER, FL 33070-2506
(305) 853-0558
(305) 853-0744
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME55043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040320212
—
FL
01
—
370013101
RR MEDICARE
FL
Enumeration date
12/20/2005
Last updated
07/19/2016
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