Organization
JACK R WEITZ PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK ROBERT WEITZ PHD (PRESIDENT PSYCHOLOGIST)
(305) 655-2335
Entity
Organization
Contact information
Practice address
1021 IVES DAIRY RD, BLDG 3 SUITE 119, N MIAMI BEACH, FL 33179
(305) 655-2335
(305) 652-5759
Mailing address
1021 IVES DAIRY RD, BLDG 3 SUITE 119, N MIAMI BEACH, FL 33179
(305) 655-2335
(305) 652-5759
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY4345
FL
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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