Healthcare Provider Details

I. General information

NPI: 1396038410
Provider Name (Legal Business Name): BRETT E WEINSTEIN P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2011
Last Update Date: 05/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7195 W OAKLAND PARK BLVD
LAUDERHILL FL
33313-1050
US

IV. Provider business mailing address

7195 W OAKLAND PARK BLVD
LAUDERHILL FL
33313-1050
US

V. Phone/Fax

Practice location:
  • Phone: 954-742-5265
  • Fax: 954-749-3197
Mailing address:
  • Phone: 954-742-5265
  • Fax: 954-749-3197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH0006506
License Number StateFL

VIII. Authorized Official

Name: DR. BRETT E. WEINSTEIN
Title or Position: CHIROPRACTOR
Credential: P.A.
Phone: 954-742-5265