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Individual

DR. PHILIP C WEIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7800 SHERIDAN ST, PEMBROKE PINES, FL 33024-2536
(954) 893-8014
(954) 986-8306
Mailing address
PO BOX 166279, MIAMI, FL 33116-6279
(305) 380-1626
(305) 386-1635

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME30910
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36268
BLUE SHIELD
FL
Enumeration date
06/15/2006
Last updated
12/02/2014
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