EDMUND C WEIDNER MD PA
Ambulatory Health at 2 Ave, Naples, FL

License number
Florida ME0038533
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. EDMUND CHARLES WEIDNER MEDICAL DOCTOR
Title: OWNER
Phone: (239) 263-5400
Address
Address
700 2Nd Ave N STE 205, Naples, FL 34102
National Provider ID: 1689983389
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EDMUND C. WEIDNER, M.D., PA

700 2 Ave N SUITE 205, Naples, FL 34102

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Edmund C Weidner MD
Inactive reason:
REINSTATEMENT
Registration:
Sep 6, 1983
Inactive since:
Oct 26, 2001
Phone:
(239) 263-5400 (Phone)
State ID:
G58181
Business type:
Florida Profit Corporation
Licensed Practical Nurse, Nurses:
Edmund C Weidner (Director, President, Family Practitioner, Medical Doctor, Owner), 700 2 Ave N SUITE 205, Naples, FL 34102 (Physical),Mary E. Rometo (Office Manager),Jennifer Wendel (Registered Nurse),...
Agent:
Marve Alaimo,24311 Walden Ctr Dr SUITE 201, Bonita Springs, FL 34134 (Physical)
EIN:
59-2317982

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