Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | ME129318 | FL |
NPI | 1124003686 |
---|---|
Provider Name | Bevin Patricia Weeks |
First Address | St Petersburg, FL 33701-4804 |
Second Address | St Petersburg, FL 33701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2005 |
Last Update Date | 21/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
021913300 | (05) | FL |
I37183 | (02) |