Individual
DAVID WEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, MDC BOX 62, TAMPA, FL 33612-4742
(813) 974-0483
Mailing address
PO BOX 611484, ROSEMARY BEACH, FL 32461-1004
(650) 862-3432
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
304283
LA
207RP1001X
Pulmonary Disease Physician
304283
LA
207RP1001X
Pulmonary Disease Physician
C52127
CA
207RP1001X
Pulmonary Disease Physician
Primary
ME130463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C521270
—
CA
05
—
020028900
—
FL
01
—
QSBYQ
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/24/2007
Last updated
02/07/2019
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