Individual
MARK B WEITZENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME27164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002364
NHP
FL
01
—
0366037
CIGNA
FL
05
—
040323700
—
FL
01
—
1005619
CAREPLUS
FL
01
—
1256832
WELLCARE MEDICARE ONLY
FL
01
—
203827
AVMED
FL
01
—
2364
DIMENSION
FL
01
—
4200786
AETNA
FL
01
—
56089
BLUE CROSS BLUE SHIELD
FL
01
—
P0001582
SIMPLY
FL
01
—
P00284474
RAILROAD MEDICARE
FL
01
—
P01609935
RR MEDICARE
FL
01
—
P1035626
FREEDOM
FL
01
—
P971396
OPTIMUM
FL
Enumeration date
09/14/2007
Last updated
06/06/2017
Update your record
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