Organization
ORACLE SPINE AND ORTHOPEDICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C WEISS DO (CEO)
(954) 295-9753
Entity
Organization
Contact information
Practice address
10600 GRIFFIN RD STE 107, DAVIE, FL 33328-3208
(954) 295-9753
(954) 301-3901
Mailing address
772 NW 82ND TER, PLANTATION, FL 33324-1235
(954) 328-9441
(954) 301-3901
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265421184
NPI
FL
01
—
1396246005
NPI
FL
Enumeration date
02/07/2025
Last updated
09/19/2025
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