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Individual
JEFFERY PRESTON WEITZNER
Active
Individual
JEFFERY PRESTON WEITZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME25937
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055668800 GRP 255765
—
FL
01
—
110051050 GRP.CC5873
RAILROAD MEDICARE
FL
01
—
15317
BCBS
FL
Enumeration date
07/11/2006
Last updated
07/08/2007
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