Provider Demographics
NPI:1801095757
Name:WECKER, AMY B (MD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:B
Last Name:WECKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1000 DEPT 394
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38148-0001
Mailing Address - Country:US
Mailing Address - Phone:941-300-4440
Mailing Address - Fax:941-404-1760
Practice Address - Street 1:427 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-6617
Practice Address - Country:US
Practice Address - Phone:305-514-0813
Practice Address - Fax:855-235-4811
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99477207RI0200X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL279142100Medicaid
FLME99477OtherMEDICAL LICENSE
FLAE328ZOtherMEDICARE
SC390918Medicaid
FLAE328ZOtherMEDICARE