Individual
BARRY WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313-1503
(954) 730-2750
Mailing address
PO BOX 863481, ORLANDO, FL 32886-3481
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0046321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254198000
—
FL
01
—
32074
BCBS
FL
Enumeration date
02/21/2006
Last updated
05/14/2008
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