Weiss, Gary M
Weiss, Gary M is an sole proprietor health care provider with primary practice located at 1051 Port Malabar Blvd Ne Suite 6, Palm Bay FL 32905-5153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Weiss, Gary M can be contacted via phone (321) 727-9063.Contact Information
Primary practice address
1051 Port Malabar Blvd Ne Suite 6
Palm Bay FL 32905-5153
Phone: (321) 727-9063
Fax: (321) 728-1955
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME39943 | Florida |
Profile Details
NPI number | 1710967328 |
---|---|
LBN Legal business name | Weiss, Gary M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 19th, 2006 |
Last updated | Jan 25th, 2010 - about 14 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 | 1710967328 | NPPES |
Florida | Other | 62367 | BLUE CROSS BLUE SHIELD |
Florida | MEDICAID | 066754400 | BLUE CROSS BLUE SHIELD |
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