Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack T Weaver DPM DO MD PA

Organization Family Medicine Physician · NPI 1063583904

Jack T Weaver DPM DO MD PA is a Family Medicine Physician in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3120 Corrine Dr
Orlando, FL 32803-2206
Phone: (407) 894-1931
Fax: (407) 894-5919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS0004936 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS0005348 (FL)

Record details

NPI number1063583904
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Howard Weaver — Physician · (407) 894-1931
NPI enumeratedNovember 13, 2006
Last updated in NPPESDecember 8, 2009
Mailing address3120 Corrine Dr, Orlando, FL 32803-2206

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