Organization
SOUTHEAST SUPERIOR HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC J WEISZ (CEO)
(904) 742-3567
Entity
Organization
Contact information
Practice address
2592 ASHFORD CT, ORANGE PARK, FL 32073
(904) 742-3567
Mailing address
2592 ASHFORD CT, ORANGE PARK, FL 32073
(904) 742-3567
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/13/2024
Last updated
04/26/2025
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