| Organization Name: | JED P WEBER, M.D.,LLC |
| NPI Number: | 1003851619 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JED PAUL WEBER (OWNER) |
| Mailing Address: | 646 Virginia St Suite 701 Dunedin |
| State: | FL US |
| Postal Code: | 346986612 |
| Phone Number: | 7277349088 |
| Fax Number: | 7272101198 |
| NPI Enumeration Date: | 06/18/2006 |
| NPI Last Update Date: | 06/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA9102790 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |