<Unavail>

LBN: Richard Weizenecker, M.D., P.A.
<Unavail> is an health care organization with primary practice located at 1297 Sw State Road 47 , Lake City FL 32025-0484. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Richard Weizenecker, M.D., P.A. can be contacted via phone (386) 752-4711, or through Weizenecker, Richard Albert via phone (386) 752-4711.

Contact Information

Primary practice address
1297 Sw State Road 47 Lake City FL 32025-0484
Phone: (386) 752-4711
Fax: (386) 752-5075
Website:
Map and Directions
Authorized official contact:
Name: Weizenecker, Richard Albert Doctor of Medicine (MD)
Phone: (386) 752-4711

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME13858 Florida

Profile Details

NPI number 1114351830
LBN Legal business name Richard Weizenecker, M.D., P.A.
DBA Doing business as <Unavail>
Authorized official Weizenecker, Richard Albert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2013
Last updated Aug 29th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114351830 NPPES
Florida MEDICAID 054014500

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