Individual
MICHAEL WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4790 BARKLEY CIR, BLDG A, FT MYERS, FL 33907-7543
(239) 275-8882
(239) 939-1330
Mailing address
4790 BARKLEY CIR, BLDG A, FT MYERS, FL 33907-7543
(239) 275-8882
(239) 939-1330
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0055049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110113857
RAILROAD MEDICARE
FL
01
—
1331050
UNITED HEALTHCARE
FL
01
—
1568445955
TRICARE
FL
01
—
1888701
CIGNA
FL
01
—
2400973
GHI
FL
01
—
248308
AVMED
FL
05
—
251891100
—
FL
01
—
27600
BCBS
FL
01
—
5128504
AETNA
FL
Enumeration date
11/21/2005
Last updated
11/27/2023
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