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1548244700
BRUCE MARSHALL WEAVER
MOUNT DORA, FL
NPI
1548244700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS9691)
Enumeration Date
2005-12-01
Last Update Date
2021-12-08
Business Address
Dr. BRUCE MARSHALL WEAVER D.O.
6542 SINISI DR
MOUNT DORA, FL 32757-7069
Phone number: 352-729-1375
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Mailing Address
Dr. BRUCE MARSHALL WEAVER D.O.
6542 SINISI DR
MOUNT DORA, FL 32757-7069
Phone number: 352-729-1375
Copy
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