MEDICARE: DAVID A WEINSTEIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	ME123822	FL
2	207NS0135X	Procedural Dermatology Physician	ME123822	FL
3	207ND0101X	MOHS-Micrographic Surgery Physician	ME123822	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194046144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A WEINSTEIN M.D.

Provider Business Mailing Address
First Line	:	411 MAITLAND AVE STE 1001
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-5448
Country	:	US
Telephone Number	:	407-260-2606
Fax Number	:	407-260-6339

Provider Business Practice Location Address
First Line	:	9975 TAVISTOCK LAKES BLVD STE 360
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32827-7665
Country	:	US
Telephone Number	:	407-266-3627
Fax Number	:	407-882-4799

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2010
Last Update Date	:	02/13/2023

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Directions to “ DAVID A WEINSTEIN M.D.” Practice Location

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