Individual
DR. MICHAEL MARK WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
450 N PARK RD, SUITE 200, HOLLYWOOD, FL 33021-6917
(954) 986-4559
Mailing address
450 N PARK RD, SUITE 200, HOLLYWOOD, FL 33021-6917
(954) 986-4559
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH3523
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88565
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
05/02/2007
Last updated
05/22/2015
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