Healthcare Provider Details

I. General information

NPI: 1407082050
Provider Name (Legal Business Name): DENIS R WEINBERG MD & ASSOCIATES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2009
Last Update Date: 03/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W 41ST ST 103
MIAMI BEACH FL
33140-3516
US

IV. Provider business mailing address

PO BOX 402808
MIAMI BEACH FL
33140-0808
US

V. Phone/Fax

Practice location:
  • Phone: 305-695-0644
  • Fax: 305-532-1612
Mailing address:
  • Phone: 305-695-0644
  • Fax: 305-532-1612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberME35992
License Number StateFL

VIII. Authorized Official

Name: DR. DENIS R WEINBERG
Title or Position: COB
Credential: M.D.
Phone: 305-695-0644