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Individual

DR. MICHAEL WEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1885 MARINA MILE BLVD STE 103, FORT LAUDERDALE, FL 33315-2243
(888) 655-7473
Mailing address
1885 MARINA MILE BLVD STE 103, FORT LAUDERDALE, FL 33315-2243
(888) 655-7473

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
DR.0056721
CO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
OS6080
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
054729800
FL
Enumeration date
10/14/2005
Last updated
08/02/2023
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