Individual
KATE LAUREN WEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL 32308-5427
(850) 877-4134
(850) 402-9130
Mailing address
1714 MAHAN CENTER BLVD, TALLAHASSEE, FL 32308-5427
(850) 877-4134
(850) 402-9130
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9104795
FL
363AM0700X
Medical Physician Assistant
Primary
PA9104795
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP475Z
MEDICARE
FL
01
—
Y06TB
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
09/29/2008
Last updated
12/09/2014
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