JACK T WEAVER DPM DO MD PA
Marriage and Family Therapists at Corrine Dr, Orlando, FL

License number
Florida OS0004936
Category
Osteopathic Medicine
Type
Family Medicine
License number
Florida OS0005348
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. HOWARD D WEAVER DO
Title: PHYSICIAN
Phone: (407) 894-1931
Address
Address
3120 Corrine Dr, Orlando, FL 32803
National Provider ID: 1063583904
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jack T Weaver Dpm DO MD PA

3120 Corrine Dr, Orlando, FL 32803

Industry:
Osteopathic Physician's Office Medical Doctor's Office
Doing business as:
Jack T. Weaver, D.P.M., D.O., M.D., PA
Registration:
Aug 22, 1972
Phone:
(407) 894-1931 (Phone)
State ID:
603792
Business type:
Domestic for Profit Corporation
Treasurer, Secretarys:
Christian D. Weaver (Secretary),Debra S. Albers (Director, Vice President),Travis M. Weaver (Treasurer),...
Agent:
Howard D. Weaver

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