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1699713420
ROGER ALLAN WEBER
PORT ST LUCIE, FL
NPI
1699713420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA1528)
Enumeration Date
2006-06-03
Last Update Date
2008-01-07
Business Address
-- ROGER ALLAN WEBER PA
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952-7521
Phone number: 772-398-3800
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Mailing Address
-- ROGER ALLAN WEBER PA
103 SE CELESTIA CT
PORT ST LUCIE, FL 34983-2119
Phone number: 772-871-0744
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