Individual
LAWRENCE MICHAEL WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
508 JEFFORDS ST, SUITE D, CLEARWATER, FL 33756-3839
(727) 443-7700
(727) 461-4379
Mailing address
508 JEFFORDS ST, SUITE D, CLEARWATER, FL 33756-3839
(727) 443-7700
(727) 461-4379
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME68174
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378580700
—
FL
Enumeration date
10/11/2006
Last updated
05/12/2021
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