Individual
JEFFREY T WEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
825 E BURGESS RD, PENSACOLA, FL 32504-7001
(850) 359-6329
(888) 375-3009
Mailing address
PO BOX 6527, PENSACOLA, FL 32503-0527
(850) 478-1312
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO3729
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650C4
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/25/2012
Last updated
08/21/2023
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