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NPI Code Detail

MEDICARE: MR. ANDREW DAVID WEITZMAN M.D.

MEDICARE: MR. ANDREW DAVID WEITZMAN M.D.
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
1207R00000XInternal Medicine PhysicianME118762FL

General Provider Information

NPI Number : 1104139237
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDREW DAVID WEITZMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 82969
Second Line :
City : TAMPA
State : FL
Zip : 33682-2969
Country : US
Telephone Number : 813-866-0930
Fax Number : 813-405-3709
Provider Business Practice Location Address
First Line : 5611 SHELDON RD
Second Line :
City : TAMPA
State : FL
Zip : 33615-3532
Country : US
Telephone Number : 813-397-5300
Fax Number : 813-405-3709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2010
Last Update Date : 12/04/2022

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