Individual
MARY WEAVER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
701 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-3585
(321) 868-7641
(321) 868-4135
Mailing address
PO BOX 561600, ROCKLEDGE, FL 32956-1600
(321) 868-7641
(321) 868-4135
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP31462342
FL
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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