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Dr. James W Weaver, M.D.

Radiology, Diagnostic Radiology in Port Orange, FL. Individual provider (NPI-1).

NPI number1528024882
StatusActive
Last updated in NPPESJun 19, 2008

Details

NPI
1528024882
Entity type
Individual (NPI-1)
Name
Dr. James W Weaver
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 25, 2006
Last updated
Jun 19, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyME0037445FLYes

Practice location

1680 Dunlawton Ave
Port Orange, FL 32127-4754

Phone 386-304-1212 · Fax 386-304-8244

Mailing address

1680 Dunlawton Ave
Port Orange, FL 32127-4754

Phone 386-304-1212 · Fax 386-304-8244

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