Individual
GEOFFREY S WEISBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9450 E BROADVIEW DR, BAY HARBOR ISLANDS, FL 33154-1916
(305) 431-7053
Mailing address
9450 E BROADVIEW DR, BAY HARBOR ISLANDS, FL 33154-1916
(305) 431-7053
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME0004181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277364300
—
FL
01
—
82556
BCBS OF FL
FL
Enumeration date
04/22/2006
Last updated
07/30/2014
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