Organization
DELTA HEALTH MANAGEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE MAXWELL WEAVER DDS (DENTIST)
(863) 676-8536
Entity
Organization
Contact information
Practice address
1 DOCTORS LN, LAKE WALES, FL 33853-4956
(863) 676-8536
(863) 676-1629
Mailing address
1 DOCTORS LN, LAKE WALES, FL 33853-4956
(863) 676-8536
(863) 676-1629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5771
FL
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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