Provider Demographics
NPI:1417136037
Name:JEFFREY N WEISS MD.PA
Entity Type:Organization
Organization Name:JEFFREY N WEISS MD.PA
Other - Org Name:RETINA ASSOCIATES OF SOUTH FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:N
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-975-0044
Mailing Address - Street 1:5800 COLONIAL DR STE 300
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5674
Mailing Address - Country:US
Mailing Address - Phone:954-975-0044
Mailing Address - Fax:954-975-0338
Practice Address - Street 1:5800 COLONIAL DR STE 300
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5674
Practice Address - Country:US
Practice Address - Phone:954-975-0044
Practice Address - Fax:954-975-0338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========Medicare PIN
FL24005Medicare PIN