Organization
JONATHAN R. WEISER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA DITTHARDT (OFFICE MANAGER)
(954) 964-4113
Entity
Organization
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17993
BLUE CROSS BLUE SHIELD
FL
01
—
208183
AVMED
FL
Enumeration date
03/13/2015
Last updated
03/13/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us