MEDICARE: JEFFREY N WEISS MD.PA

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	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1417136037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFREY N WEISS MD.PA

Provider Business Mailing Address
First Line	:	5800 COLONIAL DR STE 300
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-5674
Country	:	US
Telephone Number	:	954-975-0044
Fax Number	:	954-975-0338

Provider Business Practice Location Address
First Line	:	5800 COLONIAL DR STE 300
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-5674
Country	:	US
Telephone Number	:	954-975-0044
Fax Number	:	954-975-0338

Authorized Official
Title or Position	:	PRACTICING PHYSICIAN
Name	:	DR. JEFFREY N WEISS
Credential	:	MD
Telephone Number	:	954-975-0044

Provider Enumeration Date	:	10/31/2007
Last Update Date	:	03/28/2012

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