| NPI | 1063583904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD D WEAVER Physician 407-894-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL os0004936) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL os0005348) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2009-12-08 |