Organization
NORTHEAST FLORIDA PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ANDREW WEISS MD (PRESIDENT)
(904) 215-5800
Entity
Organization
Contact information
Practice address
421 KINGSLEY AVE, #200, ORANGE PARK, FL 32073-4897
(904) 215-5800
(904) 215-1211
Mailing address
421 KINGSLEY AVE, #200, ORANGE PARK, FL 32073-4897
(904) 215-5800
(904) 215-1211
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0062500
FL
Other
Enumeration date
08/17/2009
Last updated
03/02/2012
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