Individual
KARL WEAVER
Active
Individual
KARL WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001565
NY
363AS0400X
Surgical Physician Assistant
Primary
PA9103198
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100741100
—
FL
01
—
3BSL8
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/08/2007
Last updated
10/30/2018
Update your record
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