Doctor Name: | DR. RICHARD CARL WEISS |
NPI Number: | 1013019918 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME47117 |
Business Practice Address: | 303 N Clyde Morris Blvd Halifax Regional Oncology Center Daytona Beach, FL - 321142709 |
Business Phone Number: | 3862544212 |
Business Fax Number: | 3862544214 |
Mailing Address: | 303 N Clyde Morris Blvd, Halifax Regional Oncology Center DAYTONA BEACH |
State: | FL |
Postal Code: | 321142709 |
Phone Number: | 3862544212 |
Fax Number: | 3862544214 |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 08/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RH0003X |
License Number: | ME47117 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Hematology & Oncology |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |