MEDICARE: STEPHEN ARTHUR WEIRICH MD

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	207Q00000X	Family Medicine Physician	ME101487	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	:	1730273210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN ARTHUR WEIRICH MD

Provider Business Mailing Address
First Line	:	11645 BISCAYNE BLVD STE 207
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33181-3138
Country	:	US
Telephone Number	:	305-538-8835
Fax Number	:	305-938-4044

Provider Business Practice Location Address
First Line	:	1221 71ST ST
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-3647
Country	:	US
Telephone Number	:	305-538-8835
Fax Number	:	305-865-1881

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	09/19/2023

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