MEDICARE: MONICA WEINHOLD L.M.T.

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	208100000X	Physical Medicine & Rehabilitation Physician	56351	FL

General Provider Information

NPI Number	:	1871822692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA WEINHOLD L.M.T.

Provider Business Mailing Address
First Line	:	2292 CORAL WAY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3509
Country	:	US
Telephone Number	:	305-854-3100
Fax Number	:	305-854-7030

Provider Business Practice Location Address
First Line	:	2292 CORAL WAY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3509
Country	:	US
Telephone Number	:	305-854-3100
Fax Number	:	305-854-7030

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

Provider Enumeration Date	:	12/08/2009
Last Update Date	:	12/08/2009

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