Individual
DR. JAMES W WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1680 DUNLAWTON AVE, PORT ORANGE, FL 32127-4754
(386) 304-1212
(386) 304-8244
Mailing address
1680 DUNLAWTON AVE, PORT ORANGE, FL 32127-4754
(386) 304-1212
(386) 304-8244
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0037445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068291800
—
FL
Enumeration date
04/25/2006
Last updated
06/19/2008
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