Organization
DOUGLAS D WEBER DC PA
Active
Other names
weber chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS DEAN WEBER DC (VICE PRESIDENT)
(321) 259-0090
Entity
Organization
Contact information
Practice address
402 N BABCOCK ST, SUITE 101, MELBOURNE, FL 32935-7335
(321) 259-0090
Mailing address
402 N BABCOCK ST, SUITE 101, MELBOURNE, FL 32935-7335
(321) 259-0090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7359
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55615
—
FL
Enumeration date
07/06/2016
Last updated
07/06/2016
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