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NPI Code Detail

MEDICARE: DR. MARK E. WEIGLEY M.D.

MEDICARE: DR. MARK E. WEIGLEY 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
1207Q00000XFamily Medicine PhysicianME0026614FL

General Provider Information

NPI Number : 1336147875
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK E. WEIGLEY M.D.
Provider Business Mailing Address
First Line : 685 PALM SPRINGS DR
Second Line : SUITE 1A
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-7853
Country : US
Telephone Number : 407-339-5959
Fax Number : 407-339-5951
Provider Business Practice Location Address
First Line : 685 PALM SPRINGS DR
Second Line : SUITE 1A
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-7853
Country : US
Telephone Number : 407-339-5959
Fax Number : 407-339-5951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 02/22/2010

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Directions to “ DR. MARK E. WEIGLEY M.D.” Practice Location

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