MEDICARE: DR. ELLIOTT B. WEINGER M.D.

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	174400000X	Specialist	ME32539	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992700454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELLIOTT B. WEINGER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 4455
Second Line	:
City	:	HALLANDALE
State	:	FL
Zip	:	33008-4455
Country	:	US
Telephone Number	:	954-454-3335
Fax Number	:	954-454-1991

Provider Business Practice Location Address
First Line	:	1724 E HALLANDALE BEACH BLVD
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-5584
Country	:	US
Telephone Number	:	954-454-3335
Fax Number	:	954-454-1991

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	07/01/2011

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