| Mark E. Weigley, M.d., P.a. | |
|
685 Palm Springs Dr Suite 1a Altamonte Springs FL 32701-7853 | |
| (407) 339-5959 | |
| (407) 339-5951 |
| Full Name | Mark E. Weigley, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 685 Palm Springs Dr, Altamonte Springs, Florida |
| Authorized Official Name and Position | Mark Edward Weigley (PRESIDENT) |
| Authorized Official Contact | 4073395959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark E. Weigley, M.d., P.a. 685 Palm Springs Dr Suite 1a Altamonte Springs FL 32701-7853 Ph: (407) 339-5959 | Mark E. Weigley, M.d., P.a. 685 Palm Springs Dr Suite 1a Altamonte Springs FL 32701-7853 Ph: (407) 339-5959 |
| NPI Number | 1043534670 |
|---|---|
| Provider Enumeration Date | 03/25/2010 |
| Last Update Date | 03/25/2010 |
| Medicare PECOS PAC ID | 5092843656 |
|---|---|
| Medicare Enrollment ID | O20100503000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043534670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME002614 (Florida) | Primary |
| Provider Name | Mark Edward Weigley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336147875 PECOS PAC ID: 6002944667 Enrollment ID: I20100503000588 |
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