Individual
ANDREW K. WEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OS9827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1193518
WELLCARE
FL
01
—
258608
AVMED
FL
05
—
279029700
—
FL
01
—
5127
OPER. ENGIN. PROV. #
FL
01
—
54327
BCBS FL PROVIDER #
FL
01
—
5839421
AETNA PROVIDER #
FL
01
—
OS9827
METCARE PROVIDER #
FL
01
—
P01791741
CLEAR HEALTH ALLIANCE
FL
01
—
QMP000005122907
MOLINA
FL
Enumeration date
07/19/2006
Last updated
04/21/2017
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