Provider Demographics
NPI:1730104555
Name:WEBBER, RONALD CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:CHRISTOPHER
Last Name:WEBBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WALLACE AVE
Mailing Address - Street 2:STE 250
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-6058
Mailing Address - Country:US
Mailing Address - Phone:941-361-3050
Mailing Address - Fax:941-361-3025
Practice Address - Street 1:100 WALLACE AVE
Practice Address - Street 2:STE 250
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-6058
Practice Address - Country:US
Practice Address - Phone:941-361-3050
Practice Address - Fax:941-361-3025
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2014-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 776612084P0800X
FLME77612084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL256388600Medicaid
FLG95043Medicare UPIN
FL46466ZMedicare PIN
FL46466Medicare ID - Type Unspecified