Individual
DR. HENRY J WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 2ND ST E, BRADENTON, FL 34208-1042
(941) 746-5111
Mailing address
340 SAPPHIRE LAKE DR UNIT 101, BRADENTON, FL 34209-3445
(352) 516-8991
(954) 206-0526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME56142
FL
208M00000X
Hospitalist Physician
Primary
ME56142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104503700
—
FL
01
—
O9091
MEDICARE
FL
Enumeration date
05/11/2006
Last updated
05/05/2022
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