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NPI Code Detail

MEDICARE: MITCHELL WEINER MD PA

MEDICARE: MITCHELL WEINER MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME369667FL

General Provider Information

NPI Number : 1154626786
Entity Type Code : Organization
Provider Name (Legal Business Name) : MITCHELL WEINER MD PA
Provider Business Mailing Address
First Line : 7143 STATE ROAD 54
Second Line : SUITE 205
City : NEW PORT RICHEY
State : FL
Zip : 34653-6104
Country : US
Telephone Number : 727-919-3000
Fax Number :
Provider Business Practice Location Address
First Line : 7143 STATE ROAD 54
Second Line : SUITE 205
City : NEW PORT RICHEY
State : FL
Zip : 34653-6104
Country : US
Telephone Number : 727-919-3000
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. MITCHELL A WEINER
Credential : MD
Telephone Number : 727-919-3000
Provider Enumeration Date : 01/12/2011
Last Update Date : 01/12/2011

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Directions to “MITCHELL WEINER MD PA ” Practice Location

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