Individual
DR. CHARLES J WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 BROTHER GEENEN WAY, SARASOTA, FL 34236-7102
(941) 556-3220
(941) 955-8214
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME19335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05327
BCBS
FL
05
—
056000600
—
FL
Enumeration date
10/21/2005
Last updated
08/22/2019
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