Weiss, Richard Carl

Weiss, Richard Carl is an individual health care provider with primary practice located at 303 N Clyde Morris Blvd Halifax Regional Oncology Center, Daytona Beach FL 32114-2709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Weiss, Richard Carl can be contacted via phone (386) 254-4212.

Contact Information

Primary practice address
303 N Clyde Morris Blvd Halifax Regional Oncology Center Daytona Beach FL 32114-2709
Fax: (386) 254-4214
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME47117 Florida

Profile Details

NPI number 1013019918
LBN Legal business name Weiss, Richard Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Aug 10th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013019918 NPPES
Florida MEDICAID 041569300

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