| Jared Blake Weiss, MD | |
| 
					1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510  | |
| (954) 355-5500 | |
| Not Available | 
| Full Name | Jared Blake Weiss | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 1600 S Andrews Ave, Fort Lauderdale, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215469036 | NPI | - | NPPES | 
| 118435600 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME160648 (Florida) | Primary | 
| Entity Name | North Broward Radiologists, P.a. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306820295 PECOS PAC ID: 9537141338 Enrollment ID: O20040604000592  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jared Blake Weiss, MD 6330 N Andrews Ave Ste 299, Ft Lauderdale, FL 33309-2130 Ph: (954) 839-8080  | Jared Blake Weiss, MD 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 Ph: (954) 355-5500  | 
Dennis M. Mackman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2000 W Commercial Blvd, Suite 115, Fort Lauderdale, FL 33309 Phone: 954-839-8080 Fax: 954-839-8081  | |
Kenneth P. Morrison, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2000 W Commercial Blvd, Suite 115, Fort Lauderdale, FL 33309 Phone: 954-839-8080 Fax: 954-839-8081  | |
Dr. Stanley Margulies, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3241 Sw 51st St, Fort Lauderdale, FL 33312 Phone: 305-517-2828  | |
Dr. Brian Letzen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 S Andrews Ave, Fort Lauderdale, FL 33316 Phone: 954-355-5550  | |
Anika Nina Watson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2805 E Oakland Park Blvd # 186, Fort Lauderdale, FL 33306 Phone: 954-762-1027  | |
Dr. Amisha Agarwal, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4725 N. Federal Highway, Fort Lauderdale, FL 19114 Phone: 954-267-6650 Fax: 954-351-7874  | |
Dr. Hugh Gregory Jones, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4725 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 954-267-6650 Fax: 954-351-7874  |