Provider Demographics
NPI:1477798775
Name:VERA WEISS, CAROLINA (DO)
Entity Type:Individual
Prefix:DR
First Name:CAROLINA
Middle Name:
Last Name:VERA WEISS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CAROLINA
Other - Middle Name:
Other - Last Name:VERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:15102 SW 38TH ST
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33331-2755
Mailing Address - Country:US
Mailing Address - Phone:954-401-5586
Mailing Address - Fax:
Practice Address - Street 1:15102 SW 38TH ST
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33331-2755
Practice Address - Country:US
Practice Address - Phone:954-401-5586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10528207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine