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Contact Information

FREDERICK T WEBER, MD
1859 SW NEWLAND WAY
LAKE CITY, FL32025-6966
 Phone: 386-758-0003
 Fax: 386-755-7940
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for FREDERICK T WEBER · (Male)

NPI Number 1568465896
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2005
Last updated 10/19/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME24619
  • FL Medicaid 055611400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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