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Individual
JEFFREY S WEISBERG
Active
Individual
JEFFREY S WEISBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008761
VA
363A00000X
Physician Assistant
4090
CO
363A00000X
Physician Assistant
PA3515
FL
363AS0400X
Surgical Physician Assistant
C0009238
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290732100
—
FL
05
—
87123576
—
CO
Enumeration date
04/19/2006
Last updated
09/16/2026
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