Provider Demographics
NPI:1295870426
Name:WEITZ & RITTER MD PA
Entity type:Organization
Organization Name:WEITZ & RITTER MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:WEITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-661-2299
Mailing Address - Street 1:7190 SW 87TH AVE
Mailing Address - Street 2:304
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2507
Mailing Address - Country:US
Mailing Address - Phone:305-661-2299
Mailing Address - Fax:305-661-0851
Practice Address - Street 1:7190 SW 87TH AVE
Practice Address - Street 2:304
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2507
Practice Address - Country:US
Practice Address - Phone:305-661-2299
Practice Address - Fax:305-666-0458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL255646400Medicaid
FL38331OtherBCBS OF FL GROUP NUMBER
FL38331OtherBCBS OF FL GROUP NUMBER
FL1269230001Medicare NSC