Individual provider · NPI-1

Weston Connelly, D.O.

Internal Medicine · Pinellas Park, FL

NPI number1760715833
StatusActive
Last updated in NPPESOct 2, 2012

Details

NPI
1760715833
Entity type
Individual (NPI-1)
Name
Weston Connelly
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 8, 2009
Last updated
Oct 2, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineOS11065FLYes

Practice location

6237 66th St N
Pinellas Park, FL 33781-5025

Phone 727-544-2284 · Fax 727-541-7984

Mailing address

Po Box 10549
St Petersburg, FL 33733-0549

Phone 727-544-2284 · Fax 727-541-7984

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