MEDICARE: STEVEN WEISS, M.D., P.A.

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	174400000X	Specialist	ME87750	FL

General Provider Information

NPI Number	:	1396790226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN WEISS, M.D., P.A.

Provider Business Mailing Address
First Line	:	8170 ROYAL PALM BLVD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-5701
Country	:	US
Telephone Number	:	954-755-1904
Fax Number	:	954-755-1910

Provider Business Practice Location Address
First Line	:	8170 ROYAL PALM BLVD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-5701
Country	:	US
Telephone Number	:	954-755-1904
Fax Number	:	954-755-1910

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MRS. DIANE MCFARLAND
Credential	:
Telephone Number	:	954-755-1904

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	08/22/2020

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