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JACK T WEAVER DPM DO MD PA
NPI 1063583904
Family Medicine in Orlando, FL

Active since November 13, 2006CLIA 10D0867377 · Waiver
3120 CORRINE DR, ORLANDO, FL 32803(407) 894-1931(407) 894-5919 Get Directions Write a Review

NPPES record last updated: December 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack T Weaver Dpm Do Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK T WEAVER DPM DO MD PA (NPI 1063583904) is a healthcare organization registered as a family medicine in Orlando, Florida and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 24, 2027 and lists Howard D Weaver, Physician, as its authorized official.

NPPES Registry Identity

NPI1063583904
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACK T WEAVER DPM DO MD PA
Location Address3120 CORRINE DROrlando, FL 32803-2206
Mailing Address3120 Corrine DrOrlando, FL 32803-2206 · (407) 894-1931 · Fax (407) 894-5919
Phone(407) 894-1931
Fax(407) 894-5919
Organization SubpartNo
Authorized OfficialHoward D WeaverPhysician · (407) 894-1931
Enumeration DateNovember 13, 2006
Last NPPES UpdateDecember 8, 2009
✔ NPI 1063583904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · OS0004936✔ Licensed in FL · OS0005348
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3120 CORRINE DR, Orlando, FL 32803
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Other Identifiers 3

Medicare UPINE31880FL
Medicare UPIND60718FL
Medicare PINGROUP45796FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0867377

Jack T Weaver Dpm Do MD PA · Orlando, FL
Active · expires Feb 24, 2027
CLIA Number10D0867377
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorHoward Weaver
Laboratory Phone(407) 257-6100
Laboratory LocationJack T Weaver Dpm Do MD PA3120 Corrine Dr, Orlando, FL 32803
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEBRA S ALBERS DO
Family Medicine
3120 CORRINE DR
ORLANDO, FL 32803
Orange County (407) 395-4707
DR. HOWARD DANIEL WEAVER D.O.
Family Medicine
3120 CORRINE DR
ORLANDO, FL 32803
Orange County (407) 395-4707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack T Weaver Dpm Do MD PA's NPI number?

The NPI number for Jack T Weaver Dpm Do MD PA is 1063583904. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is Jack T Weaver Dpm Do MD PA located?

Jack T Weaver Dpm Do MD PA is located at 3120 Corrine Dr, Orlando, FL 32803. The listed phone number is (407) 894-1931.

What is Jack T Weaver Dpm Do MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Jack T Weaver Dpm Do MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0867377) is associated with this NPI, valid through February 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jack T Weaver Dpm Do MD PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jack T Weaver Dpm Do MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack T Weaver Dpm Do MD PA was last updated on December 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.