Search › Florida › 363A00000X
Weston Mills, PA-C
NPI 1174123541 · on the registry since 2020
Practice
- Address
- 1820 State Road 13 N Ste 11-926
St Johns, FL 32259 - Phone
- (888) 730-5220
- Fax
- (888) 524-8166
- Organisation at this address
- Bassi Mental Health Pa
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X
363A00000X
363A00000X
363A00000X
363A00000X
363A00000X
363A00000X - Licence states on file
- IL, NY, FL, CT, CA, GA, AZ, VA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida