Individual
DR. RICHARD CARL WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 N CLYDE MORRIS BLVD, HALIFAX REGIONAL ONCOLOGY CENTER, DAYTONA BEACH, FL 32114-2709
(386) 254-4212
(386) 254-4214
Mailing address
303 N CLYDE MORRIS BLVD, HALIFAX REGIONAL ONCOLOGY CENTER, DAYTONA BEACH, FL 32114-2709
(386) 254-4212
(386) 254-4214
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME47117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041569300
—
FL
Enumeration date
09/01/2006
Last updated
08/10/2012
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