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NPI Code Detail

MEDICARE: MR. JOHN JULIUS WEIMANN III LMHC

MEDICARE: MR. JOHN JULIUS WEIMANN III LMHC
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
1101YM0800XMental Health CounselorMH 9418FL

General Provider Information

NPI Number : 1528230216
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN JULIUS WEIMANN III LMHC
Provider Business Mailing Address
First Line : 1407 DIXON BLVD
Second Line :
City : COCOA
State : FL
Zip : 32922-6411
Country : US
Telephone Number : 321-452-0800
Fax Number : 321-394-0385
Provider Business Practice Location Address
First Line : 1407 DIXON BLVD
Second Line :
City : COCOA
State : FL
Zip : 32922-6411
Country : US
Telephone Number : 321-452-0800
Fax Number : 321-394-0385
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2008
Last Update Date : 04/02/2008

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Directions to “ MR. JOHN JULIUS WEIMANN III LMHC” Practice Location

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