Organization
WOLVERINE ANESTHESIA CONSULTANTS, INC.
Active
Other names
Wolverine Anesthesia Consultants, M.D., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WEISS M.D. (PRESIDENT)
(561) 799-3552
Entity
Organization
Contact information
Practice address
1414 KUHL AVE, ORLANDO, FL 32806-2008
(561) 799-3552
Mailing address
7111 FAIRWAY DR, SUITE 450, PALM BEACH GARDENS, FL 33418-4204
(561) 799-3552
(865) 291-3224
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
FL
367H00000X
Anesthesiologist Assistant
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255628600
—
FL
01
—
38225
BCBS
FL
01
—
CI6774
MEDICARE - RRGA
FL
Enumeration date
07/21/2006
Last updated
12/05/2013
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