| Doctor Name: | DR. JAMIE ELISE WEAVER |
| NPI Number: | 1013068089 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | 1646 |
| Business Practice Address: | 1250 Pine Ridge Rd Suite 203 Naples, FL - 341088913 |
| Business Phone Number: | 2392612663 |
| Business Fax Number: | 2392625633 |
| Mailing Address: | 1250 Pine Ridge Rd, Suite 203 NAPLES |
| State: | FL |
| Postal Code: | 341088913 |
| Phone Number: | 2392612663 |
| Fax Number: | 2392625633 |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 10/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 1646 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |