Individual provider Active NPI

David W Weiss, M.D.

  • Pediatrics Physician
  • Atlantic Beach, FL
National Provider Identifier
1619963568
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
46322 Issued in FL
Practice address
2367 Seminole Rd
Atlantic Beach, FL 32233-5971
Phone
(904) 465-2011
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 46322 FL Primary

Addresses

Primary practice location

2367 Seminole Rd
Atlantic Beach, FL 32233-5971

Mailing address

2367 Seminole Road
Atlantic Beach, FL 32233
Phone (904) 465-2011

Other practice location 1

1850 SW Fountainview Blvd Ste 105
Port Saint Lucie, FL 34986-4527
Phone (772) 336-2818

Other identifiers 1

IdentifierTypeStateIssuer
035814201MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130128000538 FL Practitioner - Pediatric Medicine 3476707480 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46322FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc CurrentSince Feb 18, 2013 Accepting new patients
University of Florida Jacksonville Physicians Inc Pediatrics CurrentSince Aug 1, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Feb 18, 2013 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Pediatrics Current Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients

Locations

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

653 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3902

Interoperability endpoints

  • Direct secure messaging: dweiss340929@direct.shands.ufl.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1619963568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367 SEMINOLE ROAD",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "32233",
            "telephone_number": "904-465-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2367 SEMINOLE RD",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322335971",
            "telephone_number": "904-465-2011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 SW Fountainview Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349864527",
            "country_code": "US",
            "telephone_number": "772-336-2818",
            "fax_number": "772-336-5313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "46322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035814201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Beach, FL

Sources for this page

Verify at the official NPI Registry.