Weaver, James W

Weaver, James W is an individual health care provider with primary practice located at 1680 Dunlawton Ave , Port Orange FL 32127-4754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Weaver, James W can be contacted via phone (386) 304-1212.

Contact Information

Primary practice address
1680 Dunlawton Ave Port Orange FL 32127-4754
Phone: (386) 304-1212
Fax: (386) 304-8244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME0037445 Florida

Profile Details

NPI number 1528024882
LBN Legal business name Weaver, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jun 19th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528024882 NPPES
Florida MEDICAID 068291800

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