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DR. MITCHELL B WEISBERG MD NPI 1336120906


NPI Information

NPI: 1336120906
Provider Name: DR. MITCHELL B WEISBERG, MD
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

PECOS Registration: Yes

Address:
1500 BEVILLE RD STE 105
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 213-4148
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DR. Mitchell B Weisberg, MD is a hematology and oncology internal medicine in Daytona Beach, FL with 44 years of experience. The provider is 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. DR. Mitchell B Weisberg, MD NPI is 1336120906. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:1980

The provider's business location address is:

1500 BEVILLE RD STE 105
DAYTONA BEACH, FL
ZIP 32114-644
Phone: (386) 213-4148
Fax: (386) 213-4153

The NPI 1336120906 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 12/9/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineME63365FLORIDANo
2207RH0003XInternal MedicineHematology & OncologyME63365FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
118673OTHERFLORIDABC/BS OF FL
210612327OTHERFLORIDACIGNA
3650879131OTHERFLORIDACHOICE CARE
4375700500OTHERFLORIDAMEDICAID SECONDARY
5650879131OTHERFLORIDAUNITED HEALTH CARE
65767330OTHERFLORIDAAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.