Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT36654 | FL |
NPI | 1003407875 |
---|---|
Provider Name | Charles Shaya Weinstein |
First Address | Miami, FL 33130-4151 |
Second Address | Miami, FL 33130-3007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2021 |
Last Update Date | 25/03/2021 |