Weaver, Mark E

Weaver, Mark E is an sole proprietor health care provider with primary practice located at 1645 Colonial Blvd , Fort Myers FL 33907-1101. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Weaver, Mark E can be contacted via phone (239) 278-4448.

Contact Information

Primary practice address
1645 Colonial Blvd Fort Myers FL 33907-1101
Phone: (239) 278-4448
Fax: (239) 939-1286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO00001857 Florida

Profile Details

NPI number 1295722080
LBN Legal business name Weaver, Mark E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2005
Last updated Jul 13th, 2011 - about 15 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 1295722080 NPPES
Florida Other 87996 BCBS

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