Weisberg, Mitchell B
Weisberg, Mitchell B is an sole proprietor health care provider with primary practice located at 1500 Beville Rd Ste 105 , Daytona Beach FL 32114-5644. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Weisberg, Mitchell B can be contacted via phone (386) 213-4148.Contact Information
Primary practice address
1500 Beville Rd Ste 105
Daytona Beach FL 32114-5644
Phone: (386) 213-4148
Fax: (386) 213-4153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME63365 | Florida |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ME63365 | Florida |
Profile Details
| NPI number | 1336120906 |
|---|---|
| LBN Legal business name | Weisberg, Mitchell B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Dec 9th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336120906 | NPPES |
| Florida | Other | 10612327 | CIGNA |
| Florida | Other | 375700500 | CIGNA |
| Florida | Other | 650879131 | CIGNA |
| Florida | Other | 650879131 | CIGNA |
| Florida | Other | 18673 | CIGNA |
| Florida | Other | 5767330 | CIGNA |
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