Roger Allan Weber PA

NPI 1699713420 - Physician Assistant - 363A00000X

NPI Details
NPI 1699713420
Gender Male
Enumeration Date 06/03/2006
Last Updated 01/07/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1800 SE TIFFANY AVE
PORT ST LUCIE FL, 34952-7521, US
Phone (772) 398-3800
Fax
Business Location
103 SE CELESTIA CT
PORT ST LUCIE FL, 34983-2119, US
Phone (772) 871-0744
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA1528
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According to our database, Roger Allan Weber PA NPI is 1699713420, taxonomy code is 363A00000X and license number is PA1528, license state is located at Florida. Roger Allan Weber PA physically located at 1800 Se Tiffany Ave, Port St Lucie FL, 34952-7521. NPI Number Roger Allan Weber PA has the Individual type.

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1699713420 NPI number is provided on an as is basis without warranty of any kind. 1699713420 is maintained by the National Plan & Provider Enumeration System. The contents of Roger Allan Weber PA are for informational purposes only.