Jack R Weitz PHD PA

NPI #1063579662 in N Miami Beach, Florida

Provider Information

NPI Number: 1063579662
Entity Type: Organization
Organization Name: Jack R Weitz PHD PA
Primary Specialty: Psychologist
Enumeration Date: Jan 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1021 IVES DAIRY RD
Address 2: BLDG 3 SUITE 119
City: N Miami Beach
State: Florida
ZIP Code: 33179
Phone: (305) 655-2335

Authorized Official

Name: JACK ROBERT WEITZ, PHD
Title: PRESIDENT PSYCHOLOGIST
Phone: (305) 655-2335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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