Individual
DR. ALAN M WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3440 W DR MARTIN LUTHER KING JR BLVD STE 203, TAMPA, FL 33607-6223
(813) 872-7737
(813) 443-8120
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35079880W
OH
207R00000X
Internal Medicine Physician
C54750
CA
207R00000X
Internal Medicine Physician
Primary
ME140831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104617100
—
FL
Enumeration date
04/20/2006
Last updated
11/27/2019
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