MEDICARE: MARC A. WEINBERG, D.C., P.A.

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	111N00000X	Chiropractor	CH5775	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	:	1558693697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARC A. WEINBERG, D.C., P.A.

Provider Business Mailing Address
First Line	:	421 NORTHLAKE BLVD
Second Line	:	SUITE F
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-5413
Country	:	US
Telephone Number	:	561-842-2273
Fax Number	:	561-842-1362

Provider Business Practice Location Address
First Line	:	421 NORTHLAKE BLVD
Second Line	:	SUITE F
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-5413
Country	:	US
Telephone Number	:	561-842-2273
Fax Number	:	561-842-1362

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARC A WEINBERG
Credential	:	D.C.
Telephone Number	:	561-842-2273

Provider Enumeration Date	:	01/30/2010
Last Update Date	:	01/30/2010

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