SearchFlorida183500000X

Bruce Weaver

NPI 1649660390 · on the registry since 2015 · sole proprietor

Practice

Address
8970 Pensacola Blvd
Pensacola, FL 32534
Phone
(850) 484-3777
Organisation at this address
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-15

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