MEDICARE: GEOFFREY S WEISBAUM DO

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	ME0004181	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
2	82556	OTHER	FL	BCBS OF FL

General Provider Information

NPI Number	:	1316903917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEOFFREY S WEISBAUM DO

Provider Business Mailing Address
First Line	:	9450 E BROADVIEW DR
Second Line	:
City	:	BAY HARBOR ISLANDS
State	:	FL
Zip	:	33154-1916
Country	:	US
Telephone Number	:	305-431-7053
Fax Number	:

Provider Business Practice Location Address
First Line	:	9450 E BROADVIEW DR
Second Line	:
City	:	BAY HARBOR ISLANDS
State	:	FL
Zip	:	33154-1916
Country	:	US
Telephone Number	:	305-431-7053
Fax Number	:

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

Provider Enumeration Date	:	04/22/2006
Last Update Date	:	07/30/2014

Similar Medicare Providers

1689004384 — CHRISTA CONOLOGUE MURCHISON ARNP-BC
Practice Location Address:

1185 VENETIAN HARBOR DR NE
ST PETERSBURG, FL
33702-1916

Practice Phone: 727-403-8110
Practice Fax:

1346110186 — MICHAEL JON GOODWIN LDO
Practice Location Address:

1107 VENETIAN HARBOR DR NE
ST PETERSBURG, FL
33702-1916

Practice Phone: 727-421-8133
Practice Fax:

1477593978 — DR. LAURA LENNON M.D.
Practice Location Address:

1916 UNION BLVD
BAY SHORE, NY
11706-7921

Practice Phone: 631-666-2290
Practice Fax: 631-666-2283

1184858151 — PREMIERE CARDIOLOGY PLLC
Practice Location Address:

1916 UNION BLVD
BAY SHORE, NY
11706-7921

Practice Phone: 631-666-2291
Practice Fax: 631-666-2283

1487989190 — DR. GABRIEL MICHAEL WAGMAN M.D.
Practice Location Address:

1916 UNION BLVD
BAY SHORE, NY
11706-7921

Practice Phone: 631-666-2290
Practice Fax: 631-647-5299

1295196319 — VERMONT HOME CARE SERVICES LLC
Practice Location Address:

136B MALLETTS BAY AVE
WINOOSKI, VT
05404-1916

Practice Phone: 802-777-4237
Practice Fax:

Directions to “ GEOFFREY S WEISBAUM DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.