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JED P WEBER M.D.LLC NPI 1003851619


NPI Information

NPI: 1003851619
Provider Name: JED P WEBER, M.D.,LLC

Doing Business As: COASTAL NEUROSURGERY & SPINE

Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
646 VIRGINIA ST
SUITE 701
DUNEDIN, FL
ZIP 34698
Phone: (727) 734-9088
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JED P WEBER, M.D.,LLC is a medical physician assistant in Dunedin, FL. JED P WEBER, M.D.,LLC NPI is 1003851619. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Coastal Neurosurgery & Spine.

The provider's business location address is:

646 VIRGINIA ST
SUITE 701
DUNEDIN, FL
ZIP 34698-612
Phone: (727) 734-9088
Fax: (727) 210-1198

The provider's authorized official is Jed Paul Weber .
The authorized official title is Owner and has the following contact phone number (727) 734-9088.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 6/27/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalPA9102790FLORIDANo
2363AS0400XPhysician AssistantSurgicalPA2726FLORIDANo
3363AM0700XPhysician AssistantMedicalPA2726FLORIDANo
4363AM0700XPhysician AssistantMedicalPA9102790FLORIDAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G26873MEDICARE UPINFLORIDA
2Q25546MEDICARE UPIN
3U1370ZMEDICARE ID-TYPE UNSPECIFIEDFLORIDARUDI
449595MEDICARE ID-TYPE UNSPECIFIEDFLORIDAJED
5S65554MEDICARE UPINFLORIDA
6Q0175OTHERFLORIDAPTAN
7E1380UMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.