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