| Doctor Name: | THOMAS KIM WEICHART |
| NPI Number: | 1245635762 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP, FNP-BC |
| License Number: | ARNP2935452 |
| Business Practice Address: | 4880 N Highway 19a Mount Dora, FL - 327572018 |
| Business Phone Number: | 4072848274 |
| Business Fax Number: | |
| Mailing Address: | 4880 N Highway 19a, MOUNT DORA |
| State: | FL |
| Postal Code: | 327572018 |
| Phone Number: | 4072848274 |
| Fax Number: | |
| NPI Enumeration Date: | 10/27/2014 |
| NPI Last Update Date: | 11/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP2935452 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |