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NPI Code Detail

MEDICARE: MICHELLE WEAVER

MEDICARE: MICHELLE 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
1183500000XPharmacistPS58100FL

General Provider Information

NPI Number : 1124508783
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE WEAVER
Provider Business Mailing Address
First Line : 601 ROSERY RD NE APT 3406
Second Line :
City : LARGO
State : FL
Zip : 33770-3824
Country : US
Telephone Number : 813-810-9456
Fax Number :
Provider Business Practice Location Address
First Line : 3825 E BAY DR
Second Line :
City : LARGO
State : FL
Zip : 33771-1936
Country : US
Telephone Number : 727-538-8718
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 08/11/2020

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Directions to “ MICHELLE WEAVER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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