Healthcare Provider Details

I. General information

NPI: 1295831360
Provider Name (Legal Business Name): VITOR FILIPA WEINMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 12/01/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 CORAL WAY SUITE 207
CORAL GABLES FL
33134-4930
US

IV. Provider business mailing address

401 CORAL WAY SUITE 207
CORAL GABLES FL
33134-4930
US

V. Phone/Fax

Practice location:
  • Phone: 305-445-2941
  • Fax: 305-445-7231
Mailing address:
  • Phone: 305-445-2941
  • Fax: 305-445-7231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number44597
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number44597
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: