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NPI Code Detail

MEDICARE: DR. STEVEN WEINER M.D.

MEDICARE: DR. STEVEN WEINER 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
1174400000XSpecialistME92683FL

General Provider Information

NPI Number : 1770949893
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN WEINER M.D.
Provider Business Mailing Address
First Line : 2050 W COUNTY HIGHWAY 30A
Second Line : SUITE 114
City : SANTA ROSA BEACH
State : FL
Zip : 32459-0187
Country : US
Telephone Number : 850-622-1214
Fax Number : 866-465-7548
Provider Business Practice Location Address
First Line : 2050 W COUNTY HIGHWAY 30A
Second Line : SUITE 114
City : SANTA ROSA BEACH
State : FL
Zip : 32459-0187
Country : US
Telephone Number : 850-622-1214
Fax Number : 866-465-7548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2016
Last Update Date : 01/05/2016

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Directions to “ DR. STEVEN WEINER M.D.” Practice Location

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