MEDICARE: DARYL D WIER 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
1	208600000X	Surgery Physician	44599	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1689679755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARYL D WIER MD

Provider Business Mailing Address
First Line	:	801 N ORANGE AVE
Second Line	:	SUITE 640
City	:	ORLANDO
State	:	FL
Zip	:	32801-1026
Country	:	US
Telephone Number	:	407-730-3627
Fax Number	:	407-423-3817

Provider Business Practice Location Address
First Line	:	801 N ORANGE AVE
Second Line	:	SUITE 640
City	:	ORLANDO
State	:	FL
Zip	:	32801-1026
Country	:	US
Telephone Number	:	407-730-3627
Fax Number	:	407-423-3817

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	06/06/2013

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