Weiss, Gary M

Weiss, Gary M is an sole proprietor health care provider with primary practice located at 1051 Port Malabar Blvd Ne Suite 6, Palm Bay FL 32905-5153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Weiss, Gary M can be contacted via phone (321) 727-9063.

Contact Information

Primary practice address
1051 Port Malabar Blvd Ne Suite 6 Palm Bay FL 32905-5153
Phone: (321) 727-9063
Fax: (321) 728-1955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME39943 Florida

Profile Details

NPI number 1710967328
LBN Legal business name Weiss, Gary M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2006
Last updated Jan 25th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710967328 NPPES
Florida Other 62367 BLUE CROSS BLUE SHIELD
Florida MEDICAID 066754400 BLUE CROSS BLUE SHIELD

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