Individual
DR. BRUCE MARSHALL WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6542 SINISI DR, MOUNT DORA, FL 32757-7069
(352) 729-1375
Mailing address
6542 SINISI DR, MOUNT DORA, FL 32757-7069
(352) 729-1375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS9691
FL
Other
Enumeration date
12/01/2005
Last updated
12/08/2021
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