Gary M. Weiss, M.d., P.a.

NPI #1003922618 in Palm Bay, Florida

Provider Information

NPI Number: 1003922618
Entity Type: Organization
Organization Name: Gary M. Weiss, M.d., P.a.
Primary Specialty: Specialist
Enumeration Date: Aug 23, 2006
Last Updated: Sep 20, 2011

Practice Location

Address: 1051 PORT MALABAR BLVD NE
Address 2: SUITE 6
City: Palm Bay
State: Florida
ZIP Code: 32905-5153
Phone: (321) 727-9063

Authorized Official

Name: DR. GARY M WEISS, M.D.
Title: PRESIDENT
Phone: (321) 727-9063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Nurse Practitioner	363L00000X

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