Provider Demographics
NPI:1104206333
Name:WEER, JOY
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:
Last Name:WEER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12497 TAMIAMI TRL S
Mailing Address - Street 2:UNIT 4
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-1447
Mailing Address - Country:US
Mailing Address - Phone:941-492-4300
Mailing Address - Fax:941-492-2170
Practice Address - Street 1:12497 TAMIAMI TRL S
Practice Address - Street 2:UNIT 4
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-1447
Practice Address - Country:US
Practice Address - Phone:941-492-4300
Practice Address - Fax:941-492-2170
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator