MEDICARE: DR. LAWRENCE M. 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	2084P0802X	Addiction Psychiatry Physician	ME122384	FL

General Provider Information

NPI Number	:	1629249651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE M. WEINSTEIN M.D.

Provider Business Mailing Address
First Line	:	100 BEACH DR NE UNIT 2002
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33701-3970
Country	:	US
Telephone Number	:	310-824-3132
Fax Number	:	727-623-0863

Provider Business Practice Location Address
First Line	:	100 BEACH DR NE UNIT 2002
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33701
Country	:	US
Telephone Number	:	310-824-3132
Fax Number	:	727-623-0863

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

Provider Enumeration Date	:	03/18/2008
Last Update Date	:	12/05/2019

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