IndividualActive
Mark Weatherly, M.D.
NPI 1881703650 · Pediatric Pulmonology Physician · Orlando, FL
Provider details
- NPI number
- 1881703650
- Entity type
- Individual
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME62498 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
60 W Gore Street
Orlando, FL 32806-1101
Phone: (407) 351-5384
Fax: (407) 445-0321
Approximate (ZIP-level) locationGet directions
Mailing address
60 W Gore Street
Orlando, FL 32806-1101
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2016-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.