Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | ME0053447 | FL |
NPI | 1073512521 |
---|---|
Provider Name | Dr. Howard M Weiner |
First Address | Boca Raton, FL 33431-8579 |
Second Address | Boca Raton, FL 33431-8579 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2005 |
Last Update Date | 20/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D51927 | (02) | FL |