Organization
TREASURE COAST ANESTHESIA GROUP PA
Active
Organization
TREASURE COAST ANESTHESIA GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY A WEISS MD (PRESIDENT)
(561) 623-2000
Entity
Organization
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 287-5200
Mailing address
7111 FAIRWAY DR, SUITE 450, PALM BEACH GARDENS, FL 33418-4204
(561) 623-2052
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004F4
BLUE CROSS BLUE SHIELD
FL
05
—
008811300
—
FL
05
—
008811301
—
FL
05
—
008811302
—
FL
Enumeration date
04/11/2013
Last updated
07/11/2013
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