Individual
KAMLA TARA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
7955 66TH ST N STE D, PINELLAS PARK, FL 33781-2161
(727) 541-3362
Mailing address
9395 120TH WAY, SEMINOLE, FL 33772-2640
(727) 408-2028
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11021963
FL
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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