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NPI Code Detail

MEDICARE: JEFFREY T WEILAND DPM

MEDICARE: JEFFREY T WEILAND DPM
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
1213E00000XPodiatristPO3729FL
2213ES0103XFoot & Ankle Surgery PodiatristPO3729FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1650C4OTHERFLBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528326725
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY T WEILAND DPM
Provider Business Mailing Address
First Line : PO BOX 6527
Second Line :
City : PENSACOLA
State : FL
Zip : 32503-0527
Country : US
Telephone Number : 850-478-1312
Fax Number : 850-474-9060
Provider Business Practice Location Address
First Line : 825 E BURGESS RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32504-7001
Country : US
Telephone Number : 850-359-6329
Fax Number : 888-375-3009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2012
Last Update Date : 08/21/2023

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Directions to “ JEFFREY T WEILAND DPM” Practice Location

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