Dr. David Weiss

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

46322 Issued in FL

Legal business name

DR. DAVID WEISS

Practice address

3033 Monument Rd Ste 20
Jacksonville, FL 32225-1779

Phone

(904) 642-1888

Fax

(904) 642-2019

NPI assigned

Jul 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David William Weiss, M.D.

Title

President/Owner

Phone

(904) 642-1888

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claudia Vansoest, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Jacksonville, FL
  • NPI 1821263732
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1144459819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 MONUMENT RD STE 20",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322251779",
            "telephone_number": "904-642-1888",
            "fax_number": "904-642-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 MONUMENT RD STE 20",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322251779",
            "telephone_number": "904-642-1888",
            "fax_number": "904-642-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID WEISS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "904-642-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "46322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.