Prabha Swamy Weiss, M.D.

Pediatrics Physician · Santa Rosa Beach, FL

Individual Active NPI

NPI number 1528201472

Practice location

23 Mack Bayou Loop Ste 100
Santa Rosa Beach, FL 32459
Phone
(850) 278-3136
Fax
(850) 278-3104

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NPI record

NPI
1528201472
Entity type
Individual (Type 1)
Enumeration date
April 8, 2009
Last updated
June 21, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X ME133288 FL
Pediatrics Physician 208000000X 46187 AZ

Mailing address

PO Box 2699
Pensacola, FL 32513-2699
Phone
(850) 475-4500
Fax
(850) 475-4619

Other practice locations (2)

  • 2082 Mesquite Ave, Suite A-102, Lake Havasu City, AZ 86403-6710 · (928) 680-1264
  • 2082 Mesquite Ave, Suite A-102, Lake Havasu City, AZ 86403-6710 · (928) 680-1264

About Dr. Weiss

Prabha Swamy Weiss, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 23 Mack Bayou Loop Ste 100, Santa Rosa Beach, FL 32459. The NPI number 1528201472 was assigned on April 8, 2009 and the record was last updated on June 21, 2018.

Dr. Weiss lists 2 licenses in the registry: #ME133288 (FL) for Pediatrics Physician; #46187 (AZ) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Prabha Swamy Weiss, M.D.?

The NPI number is 1528201472.

What is the phone number of Dr. Weiss?

The phone number listed for the practice location is (850) 278-3136.

Where is Dr. Weiss located?

23 Mack Bayou Loop Ste 100, Santa Rosa Beach, FL 32459.

What is the taxonomy code for Dr. Weiss?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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