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Individual

CATHERINE M WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8260 GLADIOLUS DR, FORT MYERS, FL 33908-4156
(239) 437-5755
(239) 437-5776
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9118584
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122192900
FL
Enumeration date
01/07/2022
Last updated
05/13/2024
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