Organization
CHRISTOPHER M WEISS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER M WEISS MD (PRESIDENT)
(813) 759-0757
Entity
Organization
Contact information
Practice address
1703 THONOTOSASSA RD STE A, PLANT CITY, FL 33563-4202
(813) 759-0757
(813) 759-0737
Mailing address
1703 THONOTOSASSA RD STE A, PLANT CITY, FL 33563-4202
(813) 759-0757
(813) 759-0737
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME47440
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73255
BLUE CROSS BLUE SHIELD NU
FL
01
—
ME47440
MEDICAL LICENSE NUMBER
FL
Enumeration date
06/05/2007
Last updated
03/07/2008
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