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Contact Information

PRABHA S WEISS, MD
23 MACK BAYOU LOOP STE 100
SANTA ROSA BEACH, FL32459
 Phone: 850-278-3136
 Fax: 850-278-3104
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PRABHA S WEISS · (Female)

NPI # 1528201472
Status Active
Credentials MD
Entity Individual
Enumeration date 04/08/2009
Last updated 06/21/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 46187
  • FL License # ME133288
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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