Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | ME 44131 | FL |
NPI | 1174561377 |
---|---|
Provider Name | Dr. Steven Gary Weiss |
First Address | Clearwater, FL 33761-2022 |
Second Address | Clearwater, FL 33761-2022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0695882 | (05) | FL |
A36343 | (02) | FL |