Provider Demographics
NPI:1275240608
Name:WEISS FAMILY CARE LLC
Entity Type:Organization
Organization Name:WEISS FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURT
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:256-526-3323
Mailing Address - Street 1:280 INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:AL
Mailing Address - Zip Code:35983-3737
Mailing Address - Country:US
Mailing Address - Phone:256-526-3323
Mailing Address - Fax:256-526-3324
Practice Address - Street 1:280 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:AL
Practice Address - Zip Code:35983-3737
Practice Address - Country:US
Practice Address - Phone:256-526-3323
Practice Address - Fax:256-526-3324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty