Individual
IAN LANDON WEISBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 REDSTONE AVE W STE 430, CRESTVIEW, FL 32536-6457
(850) 854-3278
(850) 616-9164
Mailing address
550 REDSTONE AVE W STE 430, CRESTVIEW, FL 32536-6457
(850) 854-3278
(850) 616-9164
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD32189
AL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME108041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134297385
—
AL
05
—
2678300
—
FL
Enumeration date
12/04/2006
Last updated
03/28/2025
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