Gary M. Weiss, M.d., P.a.
Specialty details in registry · Palm Bay, FL
At a glance
1051 Port Malabar Blvd Ne, Palm Bay, FL 32905-5153
NPPES record updated Sep 20, 2011. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
1051 Port Malabar Blvd Ne Suite 6Palm Bay, FL 32905-5153
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 174400000X
- Enumeration date
- Aug 23, 2006
- Record updated
- Sep 20, 2011
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
174400000X · Primary
License reported: ME 39943 FL
Specialty details in registry
174400000X
License reported: ME 62341 FL
Nurse Practitioner
363L00000X
License reported: 9168017 FL
Nurse Practitioner
363L00000X
License reported: 2100062 FL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1051 Port Malabar Blvd NeSuite 6
Palm Bay, FL 32905-5153
- Phone
- (321) 727-9063
- Fax
- (321) 728-1955
Mailing address
1051 PORT MALABAR BLVD NESUITE 6
PALM BAY, FL 329055153
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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