MEDICARE: DR. SARA CATHERINE WEYER

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
1	111N00000X	Chiropractor	CH13316	FL

General Provider Information

NPI Number	:	1023600822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA CATHERINE WEYER

Provider Business Mailing Address
First Line	:	20084 SERENE MEADOW LN
Second Line	:
City	:	ESTERO
State	:	FL
Zip	:	33928-3056
Country	:	US
Telephone Number	:	678-836-5671
Fax Number	:

Provider Business Practice Location Address
First Line	:	3316 CHIQUITA BLVD S
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-5120
Country	:	US
Telephone Number	:	239-800-5197
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2021
Last Update Date	:	02/18/2021

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