Richard Weizenecker, M.d., P.a.

NPI 1114351830 - Internal Medicine - 207R00000X

NPI Details
NPI 1114351830
Enumeration Date 08/29/2013
Last Updated 08/29/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name RICHARD ALBERT RICHARD
Position PRESIDENT
Phone (386) 752-4711
Fax (386) 752-5075
Practice Location
1297 SW STATE ROAD 47
LAKE CITY FL, 32025-0484, US
Phone (386) 752-4711
Fax (386) 752-5075
Business Location
1297 SW STATE ROAD 47
LAKE CITY FL, 32025-0484, US
Phone (386) 752-4711
Fax (386) 752-5075
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME13858
Remove 1114351830 NPI Number
 

According to our database, Richard Weizenecker, M.d., P.a. NPI is 1114351830, taxonomy code is 207R00000X and license number is ME13858, license state is located at Florida. Richard Weizenecker, M.d., P.a. physically located at 1297 Sw State Road 47, Lake City FL, 32025-0484. NPI Number 1033115704 has the healthcare provider type.

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1114351830 NPI number is provided on an as is basis without warranty of any kind. 1114351830 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Weizenecker, M.d., P.a. are for informational purposes only.