Individual
DR. ROBERT VINCENT WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
112 BARTRAM OAKS WALK, SUITE #203, ST. JOHNS, FL 32259
(904) 264-5437
(904) 485-8417
Mailing address
3020 HARTLEY RD, SUITE #120, JACKSONVILLE, FL 32257
(904) 264-5437
(904) 485-8417
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN18975
FL
1223P0221X
Pediatric Dentistry
Primary
18975
FL
Other
Enumeration date
08/11/2010
Last updated
12/14/2020
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