Individual
DR. MARK STEPHEN WEISMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
930 ALICIA RD, LAKELAND, FL 33801-2104
(833) 769-3524
Mailing address
1324 LAKELAND HILLS BLVD, MANAGED CARE DEPT, LAKELAND, FL 33805
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
112182
FL
2084P0800X
Psychiatry Physician
Primary
ME112182
FL
Other
Enumeration date
05/24/2010
Last updated
09/06/2024
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