{"npi":"1063583904","type":"NPI-2","status":"active","name":{"display":"Jack T Weaver DPM DO MD PA","other":[],"organization_name":"JACK T WEAVER DPM DO MD PA","authorised_official":"Howard Weaver"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"FL","license":"OS0005348"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"FL","license":"OS0004936"}]},"addresses":[{"purpose":"LOCATION","street_1":"3120 CORRINE DR","city":"ORLANDO","state":"FL","postal_code":"328032206","country_code":"US","phone":"4078941931","fax":"4078945919"},{"purpose":"MAILING","street_1":"3120 CORRINE DR","city":"ORLANDO","state":"FL","postal_code":"328032206","country_code":"US","phone":"4078941931","fax":"4078945919"}],"license":{"state":"FL","number":"OS0004936"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050622000414","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"3678518529"}]},"enumeration_date":"2006-11-13","last_updated":"2009-12-08","_meta":{"source":"NPPES","snapshot_date":"2009-12-08","doc_url":"https://findmynpi.com/api"}}