Individual
RICHARD J WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13813 METRO PKWY, FORT MYERS, FL 33912-4343
(239) 936-1343
(239) 931-3454
Mailing address
PO BOX 7006, FT MYERS, FL 33911-7006
(239) 931-3440
(239) 931-3454
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME72959
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253309000
—
FL
Enumeration date
07/14/2005
Last updated
07/13/2012
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