| NPI | 1003922618 |
|---|---|
| Doing Business As | WEISS & NEWBERRY MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | GARY M WEISS President 321-727-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME 39943) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME 62341) |
| 363L00000X Nurse Practitioner (Licence: FL 9168017) | |
| 363L00000X Nurse Practitioner (Licence: FL 2100062) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-09-20 |