Healthcare Provider Details
I. General information
NPI: 1205894201
Provider Name (Legal Business Name): MEDICAL ASSESSMENT INSTITUTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2006
Last Update Date: 12/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2385 NW EXECUTIVE CENTER DR SUITE 100
BOCA RATON FL
33431-8579
US
IV. Provider business mailing address
2385 NW EXECUTIVE CENTER DR SUITE 100
BOCA RATON FL
33431-8579
US
V. Phone/Fax
- Phone: 561-451-0200
- Fax: 561-451-0700
- Phone: 561-451-0200
- Fax: 561-451-0700
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207K00000X |
| Taxonomy | Allergy & Immunology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HOWARD
M.
WEINER
Title or Position: MEDICAL DIRECTOR
Credential: M.D., M.P.H.
Phone: 561-451-0200