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NPI Code Detail

MEDICARE: JESSICA ESTHER WEISS D.O.

MEDICARE: JESSICA ESTHER WEISS D.O.
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
1207RP1001XPulmonary Disease PhysicianOS19990FL
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianOS19990FL

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 : 1598297129
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ESTHER WEISS D.O.
Provider Business Mailing Address
First Line : 2639 DR ML KING JR ST N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33704-2733
Country : US
Telephone Number : 727-822-6661
Fax Number : 278-231-3347
Provider Business Practice Location Address
First Line : COASTAL PULMONARY AND CRITICAL CARE, PLC
Second Line : 2639 DR. ML KING JR. STREET NO.
City : ST. PETERSBURG
State : FL
Zip : 33704-2733
Country : US
Telephone Number : 727-822-6661
Fax Number : 278-231-3347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2017
Last Update Date : 01/15/2026

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