Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | ME136959 | FL |
NPI | 1003290834 |
---|---|
Provider Name | April Weliever |
First Address | Crystal River, FL 34429-7840 |
Second Address | Crystal River, FL 34429-7840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2015 |
Last Update Date | 09/08/2021 |