MARK E WEAVER DPM NPI 1578820700

NPI Information

MARK E WEAVER, DPM is a podiatrist in Fort Myers, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MARK E WEAVER, DPM NPI is 1578820700. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1645 COLONIAL BLVD
FORT MYERS, FL
ZIP 33907-101
Phone: (237) 278-4448
Fax: (239) 939-1286

The provider's authorized official is Patricia Trapula .
The authorized official title is Office Manager and has the following contact phone number (239) 278-4448.

The enumeration date for this NPI number is 4/12/2012 and was last updated on 10/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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