Healthcare Provider Details

I. General information

NPI: 1689987307
Provider Name (Legal Business Name): THOMAS WEISS MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2010
Last Update Date: 07/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 ALTON RD STE 1000
MIAMI BEACH FL
33140-2891
US

IV. Provider business mailing address

4302 ALTON RD STE 1000
MIAMI BEACH FL
33140-2891
US

V. Phone/Fax

Practice location:
  • Phone: 305-673-4224
  • Fax: 673-674-5988
Mailing address:
  • Phone: 305-673-4224
  • Fax: 673-674-5988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS WEISS
Title or Position: PRESIDENT/PHYSICIAN
Credential: MD
Phone: 305-673-4224