MEDICARE: DR. GERALD WEINGARDEN D.O.

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
1	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	004911	MI

General Provider Information

NPI Number	:	1891818787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD WEINGARDEN D.O.

Provider Business Mailing Address
First Line	:	8033 CRANES POINTE WAY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-3157
Country	:	US
Telephone Number	:	561-626-5635
Fax Number	:	561-493-8430

Provider Business Practice Location Address
First Line	:	8033 CRANES POINTE WAY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-3157
Country	:	US
Telephone Number	:	561-626-5635
Fax Number	:	561-493-8430

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2007
Last Update Date	:	07/08/2007

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