Healthcare Provider Details

I. General information

NPI: 1780058636
Provider Name (Legal Business Name): BAPTIST HEALTH MEDICAL PLAZA WESTCHESTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2015
Last Update Date: 11/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8840 BIRD RD
MIAMI FL
33165-5484
US

IV. Provider business mailing address

8840 BIRD RD
MIAMI FL
33165-5484
US

V. Phone/Fax

Practice location:
  • Phone: 786-596-3890
  • Fax:
Mailing address:
  • Phone: 786-596-3890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. PHILIP WEIMER
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 786-596-7992