DR. EDMUND R WEISE, M.D.
Medical Practice at 3 Ave, Jacksonville, FL

License number
Florida ME8046
Category
Medical Practice
Type
Pediatrics
Address
Address 2
274 3Rd Ave S, Jacksonville, FL 32250
936 Waverly Bluff Ct, Orange Park, FL 32065
Phone
(904) 249-3373
(904) 249-3371 (Fax)
(904) 406-4811
National Provider ID: 1851349039
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

See more information about EDMUND R WEISE at radaris.com
Name
Address
Phone
Edmund R Weise, age 59
1468 Mallard Landing Blvd, Jacksonville, FL 32259
(904) 287-2724
Edmund R Weise, age 59
4343 Colonial Ave, Jacksonville, FL 32210
(904) 388-4936
Edmund R Weise, age 92
8601 Emerald Isle Cir, Jacksonville, FL 32216
(904) 641-4472
Edmund R Weise, age 92
936 Waverly Bluff Ct, Orange Park, FL 32065
(904) 406-4811

Organization information

See more information about EDMUND R WEISE at bizstanding.com

EDMUND R. WEISE, M.D., PA

4343 Colonial Ave, Jacksonville, FL 32210

Status:
Inactive
Inactive reason:
INVOLUNTARILY DISSOLVED
Registration:
Feb 24, 1977
Inactive since:
Nov 10, 1983
State ID:
526604
Business type:
Florida Profit Corporation
Secretarys:
Edmund R. Weise President, Director, inactive, 4343 Colonial Ave, Jacksonville, FL (Physical),Betty H. Weise Secretary, inactive, 4343 Colonial Ave, Jacksonville, FL (Physical)
Agent:
Edmund Weise,4343 Colonial Ave, Jacksonville, FL 32210 (Physical)
EIN:
59-1725170

Professional information

Edmund Roland Weise Photo 1

Edmund Roland Weise, Saint Augustine FL
Specialties:
Pediatrics, Surgery, Pediatric Surgery
Work:
St Johns County Public Health
 1955 Us Highway 1 S, Saint Augustine, FL 32086 Jacksonville Beach Pediatric C.
 8117 Point Meadows Way, Jacksonville, FL 32256
Education:
University of Virginia (1957) Pediatrics

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