Healthcare Provider Details

I. General information

NPI: 1063461200
Provider Name (Legal Business Name): ENGLEWOOD HYPERBARIC, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2006
Last Update Date: 01/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 ENGLE ST
ENGLEWOOD NJ
07631-1808
US

IV. Provider business mailing address

7111 FAIRWAY DR SUITE 450
PALM BEACH GARDENS FL
33418-4204
US

V. Phone/Fax

Practice location:
  • Phone: 201-871-0673
  • Fax: 201-871-0619
Mailing address:
  • Phone: 561-623-2000
  • Fax: 865-291-3612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY A WEISS
Title or Position: PRESIDENT
Credential: MD
Phone: 561-623-2000