Individual
DR. PRABHA SWAMY WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
23 MACK BAYOU LOOP STE 100, SANTA ROSA BEACH, FL 32459
(850) 278-3136
(850) 278-3104
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 475-4500
(850) 475-4619
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
46187
AZ
208000000X
Pediatrics Physician
Primary
ME133288
FL
Other
Enumeration date
04/08/2009
Last updated
06/21/2018
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