Healthcare Provider Details

I. General information

NPI: 1023600822
Provider Name (Legal Business Name): DR. SARA CATHERINE WEYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2021
Last Update Date: 02/18/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3316 CHIQUITA BLVD S
CAPE CORAL FL
33914-5120
US

IV. Provider business mailing address

20084 SERENE MEADOW LN
ESTERO FL
33928-3056
US

V. Phone/Fax

Practice location:
  • Phone: 239-800-5197
  • Fax:
Mailing address:
  • Phone: 678-836-5671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH13316
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: