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NPI Code Detail

MEDICARE: RICHARD J WEISS MD

MEDICARE: RICHARD J WEISS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianME72959FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073511846
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD J WEISS MD
Provider Business Mailing Address
First Line : PO BOX 7006
Second Line :
City : FT MYERS
State : FL
Zip : 33911-7006
Country : US
Telephone Number : 239-931-3440
Fax Number : 239-931-3454
Provider Business Practice Location Address
First Line : 13813 METRO PKWY
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4343
Country : US
Telephone Number : 239-936-1343
Fax Number : 239-931-3454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 07/13/2012

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