| Doctor Name: | DR. FREDERICK J WEIGAND |
| NPI Number: | 1003000522 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME13473 |
| Business Practice Address: | 1565 Saxon Blvd Suite 102 Deltona, FL - 327255876 |
| Business Phone Number: | 3869177395 |
| Business Fax Number: | 3865327152 |
| Mailing Address: | 1565 Saxon Blvd Ste 102, DELTONA |
| State: | FL |
| Postal Code: | 327255823 |
| Phone Number: | 3869177395 |
| Fax Number: | 3865327152 |
| NPI Enumeration Date: | 08/28/2007 |
| NPI Last Update Date: | 01/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | ME13473 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |