MEDICARE: MARY WEISS CAP

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	CAP100187	FL

General Provider Information

NPI Number	:	1497406474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY WEISS CAP

Provider Business Mailing Address
First Line	:	5600 SPRING PARK RD STE 101
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-5988
Country	:	US
Telephone Number	:	904-737-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5600 SPRING PARK RD STE 101
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-5988
Country	:	US
Telephone Number	:	904-737-5000
Fax Number	:	904-737-5008

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

Provider Enumeration Date	:	01/12/2022
Last Update Date	:	04/14/2022

Similar Medicare Providers

1588780928 — ROBERT M CHAPA SR. M.D.
Practice Location Address:

5600 SPRING PARK RD , SUITE 200
JACKSONVILLE, FL
32216-5988

Practice Phone: 904-379-1203
Practice Fax: 904-379-9282

1215115043 — KELLI MARIE WELSHEIMER PT
Practice Location Address:

5600 SPRING PARK RD , SUITE 100
JACKSONVILLE, FL
32216-5988

Practice Phone: 904-399-5959
Practice Fax:

1679725113 — CONCENTRA HEALTH SERVICES, INC.
Practice Location Address:

5600 SPRING PARK RD.
JACKSONVILLE, FL
32216-5988

Practice Phone: 904-399-5959
Practice Fax: 904-396-5777

1326434390 — PARKSIDE CLINIC, LLC
Practice Location Address:

5600 SPRING PARK RD , SUITE 101
JACKSONVILLE, FL
32216-5988

Practice Phone: 904-737-5000
Practice Fax: 904-737-5008

1134870967 — MS. SHAMEKA NICOLE GUERRERO LPN
Practice Location Address:

5600 SPRING PARK RD
JACKSONVILLE, FL
32216-5988

Practice Phone: 904-737-5000
Practice Fax:

1841931508 — CAMILLIA MINCEY
Practice Location Address:

5600 SPRING PARK RD STE 101
JACKSONVILLE, FL
32216-5988

Practice Phone: 904-737-5000
Practice Fax: 904-737-5008

Directions to “ MARY WEISS CAP” 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.