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NPI Code Detail

MEDICARE: ALEXIS EYVONNE WEAVER

MEDICARE: ALEXIS EYVONNE WEAVER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246RP1900XPhlebotomy TechnicianNAPTP8060680021FL
2246RP1900XPhlebotomy TechnicianINST4028826203FL

General Provider Information

NPI Number : 1003323791
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS EYVONNE WEAVER
Provider Business Mailing Address
First Line : 525 E 15TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-5400
Country : US
Telephone Number : 850-522-4485
Fax Number :
Provider Business Practice Location Address
First Line : 525 E 15TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-5400
Country : US
Telephone Number : 850-522-4485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2018
Last Update Date : 05/01/2026

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Directions to “ ALEXIS EYVONNE WEAVER ” Practice Location

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