Healthcare Provider Details

I. General information

NPI: 1558724583
Provider Name (Legal Business Name): MICHAEL WEINREB DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2016
Last Update Date: 03/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19707 NE 36TH CT APT 7HN 7 H NORTH TOWER
AVENTURA FL
33180-2566
US

IV. Provider business mailing address

19707 NE 36TH COURT APT 7 H N. TOWER 7 H NORTH TOWER
AVENTURA FL
33180
US

V. Phone/Fax

Practice location:
  • Phone: 305-710-3801
  • Fax: 305-933-1911
Mailing address:
  • Phone: 305-710-3801
  • Fax: 305-933-1911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberCH 3935
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: