Individual
ERIN WEEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1340 S 18TH ST, BUILDING A, SUITE 202, FERNANDINA BEACH, FL 32034
(904) 261-9786
(904) 261-6567
Mailing address
PO BOX 43667, JACKSONVILLE, FL 32203-3667
(904) 720-0799
(904) 277-4143
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108564
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014367200
—
FL
01
—
P01447110
RAILROAD MEDICARE
FL
Enumeration date
12/09/2014
Last updated
06/08/2018
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