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Organization
RICHARD WEIZENECKER, M.D., P.A.
Active
Organization
RICHARD WEIZENECKER, M.D., P.A.
Active
Other names
Richard Weizenecker, M.D., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALBERT WEIZENECKER M.D. (PRESIDENT)
(386) 752-4711
Entity
Organization
Contact information
Practice address
1297 SW STATE ROAD 47, LAKE CITY, FL 32025-0484
(386) 752-4711
(386) 752-5075
Mailing address
1297 SW STATE ROAD 47, LAKE CITY, FL 32025-0484
(386) 752-4711
(386) 752-5075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME13858
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054014500
—
FL
Enumeration date
08/29/2013
Last updated
08/29/2013
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