Individual
MR. JONATHAN RALPH WEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
3449 JOHNSON ST, HOLLYWOOD, FL 33021-5420
(954) 964-4113
(954) 963-8121
Mailing address
3449 JOHNSON ST, HOLLYWOOD, FL 33021-5420
(954) 964-4113
(954) 963-8121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME62894
FL
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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