Organization
WOLVERINE ANESTHESIA CONSULTANTS, INC.
Active
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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