Mark Richard Weatherly
M.D. | Pediatric Pulmonology | Male
Mark Richard Weatherly, M.D. is a Orlando, Florida based Pediatric doctor with medical specialization in
Pediatric Pulmonology.
Current practice location of Mark Richard Weatherly is
60 W Gore Street, Orlando, Florida - 32806-1101. He can be contacted on phone at
407-351-5384 and fax number 407-445-0321.
Mark Richard Weatherly is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark Richard Weatherly is
1881703650 which was assigned by NPPES on 29 Aug, 2006 and it was last updated on 10 Nov, 2016.
Mark Richard Weatherly license number is
ME62498 for Pediatrics Pediatric Pulmonology (2080P0214X) in Florida.
Mark Richard Weatherly is dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Complete Profile:
Mark Richard Weatherly basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Pulmonology |
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| Provider Name : | Mark Richard Weatherly |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Mark Richard Weatherly address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 60 W Gore Street
Orlando, FL, 32806-1101
United States |
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| Phone Number : | 407-351-5384 |
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| Fax Number : | 407-445-0321 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881703650 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Aug, 2006 |
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| Last Updated On : | 10 Nov, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Richard Weatherly are as mentioned. Primary taxonomy code for Mark Richard Weatherly, M.D. is
2080P0214X (Pediatrics Pediatric Pulmonology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0214X | Pediatrics Pediatric Pulmonology | Yes | ME62498 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Mark Richard Weatherly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 7616163 | MEDICAID | NC | |
| 370776800 | MEDICAID | FL | |
| ME62498 | Other | FL | MEDICAL LICENSE |
| 1419354 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 60 W Gore Street
Orlando, FL, 32806-1101
United States |
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| Phone Number : | 407-351-5384 |
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| Fax Number : | 407-445-0321 |
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Business Location:
Patients can refer following map for directions to
Mark Richard Weatherly practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.