Individual
MICHAEL ERIC WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 JOHNSON STREEET, HOLLYWOOD, FL 33021
(954) 987-2000
(954) 985-3453
Mailing address
PO BOX 635002, CINCINNATI, OH 45263-5002
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME75622
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME75622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256533100
—
FL
01
—
46732
BLUE SHIELD
FL
Enumeration date
06/28/2006
Last updated
03/29/2021
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