Individual
JARED BLAKE WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 355-5500
Mailing address
6330 N ANDREWS AVE STE 299, FT LAUDERDALE, FL 33309-2130
(954) 839-8080
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME160648
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118435600
—
FL
Enumeration date
03/30/2017
Last updated
04/14/2025
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