Michael Raymond Weaver, MD
Emergency Medicine in Tampa, FL. Individual provider (NPI-1).
NPI number1669934550
StatusActive
Last updated in NPPESApr 13, 2022
Details
- NPI
- 1669934550
- Entity type
- Individual (NPI-1)
- Name
- Michael Raymond Weaver
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2019
- Certification date
- Apr 13, 2022
- Last updated
- Apr 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | ME151487 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
17 Davis Blvd Ste 308Tampa, FL 33606-3438
Phone 813-844-7000
Mailing address
17 Davis Blvd Ste 308Tampa, FL 33606-3438
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