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1851349039
EDMUND R WEISE
JACKSONVILLE BEACH, FL
NPI
1851349039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME8046)
Enumeration Date
2006-05-04
Last Update Date
2011-08-31
Business Address
Dr. EDMUND R WEISE M.D.
274 3RD AVE S
JACKSONVILLE BEACH, FL 32250-6727
Phone number: 904-249-3373
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Mailing Address
Dr. EDMUND R WEISE M.D.
936 WAVERLY BLUFF CT
ORANGE PARK, FL 32065-2200
Phone number: 904-406-4811
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