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NPI Code Detail

MEDICARE: JAY R WEISKOPF MD

MEDICARE: JAY R WEISKOPF 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
1207W00000XOphthalmology PhysicianME114837FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12514713570003OTHERCIGNA
2463407OTHERAETNA

General Provider Information

NPI Number : 1326085630
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAY R WEISKOPF MD
Provider Business Mailing Address
First Line : 7522 N HIMES AVE
Second Line : SUITE 200
City : TAMPA
State : FL
Zip : 33614-3205
Country : US
Telephone Number : 813-931-0500
Fax Number : 931-935-4055
Provider Business Practice Location Address
First Line : 7522 N HIMES AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-3205
Country : US
Telephone Number : 813-931-0500
Fax Number : 931-935-4055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 06/12/2014

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