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NPI Code Detail

MEDICARE: DR. AMANDA WEISS & ASSOCIATES P.A.

MEDICARE: DR. AMANDA WEISS & ASSOCIATES 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
1152W00000XOptometristOPC4077FL

General Provider Information

NPI Number : 1427253053
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. AMANDA WEISS & ASSOCIATES P.A.
Provider Business Mailing Address
First Line : 272 CLOCKTOWER DR
Second Line :
City : JUPITER
State : FL
Zip : 33458-3503
Country : US
Telephone Number : 561-876-5385
Fax Number :
Provider Business Practice Location Address
First Line : 1715 S FEDERAL HWY STE C1
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-3329
Country : US
Telephone Number : 561-276-5099
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. AMANDA WEISS
Credential : O.D.
Telephone Number : 561-876-5385
Provider Enumeration Date : 06/14/2007
Last Update Date : 08/27/2012

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