MEDICARE: WEEMS ROLAND MCARTHUR MD PA

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	207X00000X	Orthopaedic Surgery Physician	ME14599	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	03066	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1720008220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEEMS ROLAND MCARTHUR MD PA

Provider Business Mailing Address
First Line	:	PO BOX 819
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32402-0819
Country	:	US
Telephone Number	:	850-769-3283
Fax Number	:	850-785-6981

Provider Business Practice Location Address
First Line	:	400 W 19TH ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4602
Country	:	US
Telephone Number	:	850-769-3283
Fax Number	:	850-785-6981

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WEEMS ROLAND MCARTHUR SR.
Credential	:	M.D.
Telephone Number	:	850-769-3283

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	08/22/2020

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