Individual
DR. JOSE JAVIER LAZARO WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W BROADWAY ST STE 236, OVIEDO, FL 32765-9262
(321) 842-4810
(321) 842-4809
Mailing address
1000 W BROADWAY ST STE 236, OVIEDO, FL 32765-9262
(321) 842-4810
(321) 842-4809
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD474351
PA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
01087696A
IN
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
ME173760
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2017
Last updated
07/31/2025
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