Organization

Jed P Weber, M.D.,llc

May also be knows as Coastal Neurosurgery & Spine

Medical Physician Assistant in Dunedin, FL(View on Map)

Legal Business Name

Jed P Weber, M.D.,llc

Also Known As

Coastal Neurosurgery & Spine

NPI Number

1003851619

NPI Type

Organization

Enumeration Date

06/18/2006

Specialties

(Taxonomies)

Code

363AM0700X
363AS0400X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Florida

License Number

PA9102790
PA2726

Contact
Information

Purpose

Mailing
Location

Address

646 VIRGINIA ST
646 VIRGINIA ST

City

Dunedin
Dunedin

State

FL
FL

Postal Code

34698-6612
34698-6612

Country

US
US

Telephone Number

(727) 734-9088
(727) 734-9088

Authorized Official

Name

Jed Weber

Title or Position

OWNER

Telephone Number

(727) 734-9088

Identifiers

Identifier

Q0175

Identifier State

FL

Identifier Issuer

PTAN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/27/2011

Provider Address