Provider Demographics
NPI:1346221942
Name:WEISS, JEFFREY (DO)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:WEISS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TAMPA GENERAL HOSPITAL - DEPARTMENT OF ANESTHESIOLOGY
Mailing Address - Street 2:1 TAMPA GENERAL CIRCLE
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606
Mailing Address - Country:US
Mailing Address - Phone:561-635-8714
Mailing Address - Fax:
Practice Address - Street 1:TAMPA GENERAL HOSPITAL
Practice Address - Street 2:1 TAMPA GENERAL CIRCLE
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606
Practice Address - Country:US
Practice Address - Phone:561-623-2018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS6043207L00000X
IL036142218207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL80447YMedicare PIN
FLE54368Medicare UPIN