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Individual
AMY L WEISS
Active
Individual
AMY L WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME95695
FL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME95695
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003677800
—
FL
01
—
14F1C
BLUE CROSS BLUE SHIELD
FL
01
—
HR253Z
MEDICARE
FL
Enumeration date
08/24/2007
Last updated
10/19/2020
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