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Contact Information

JACK R WEITZ PHD PA
1021 IVES DAIRY RD
BLDG 3 SUITE 119
NORTH MIAMI BEACH, FL33179
 Phone: 305-655-2335
 Fax: 305-652-5759
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JACK R WEITZ PHD PA

NPI # 1063579662
LBN Legal business name JACK R WEITZ PHD PA
Authorized official JACK WEITZ - (PRESIDENT PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/02/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
FL License # PY4345
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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