Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | M4648 | TX |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | ME111544 | FL |
NPI | 1740270438 |
---|---|
Provider Name | Dr. Jacob Weinberg |
First Address | Plantation, FL 33324-1849 |
Second Address | Plantation, FL 33324-1849 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2005 |
Last Update Date | 03/01/2017 |