Individual
SAMUEL C WEIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 E 6TH ST, SUITE 205, PANAMA CITY, FL 32401-3661
(850) 785-3185
(850) 785-6233
Mailing address
801 E 6TH ST, SUITE 205, PANAMA CITY, FL 32401-3661
(850) 785-3185
(850) 785-6233
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME20079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17271
BC/BS OF FL #
FL
01
—
ME20079
FLORIDA LICENSE
FL
01
—
P00186658
RR MEDICARE
FL
Enumeration date
09/20/2006
Last updated
07/09/2007
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