Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 650087628 | FL |
NPI | 1124117049 |
---|---|
Provider Name | Dr. Michael L Weinberger |
First Address | West Palm Beach, FL 33401-3413 |
Second Address | Atlantis, FL 33462-1139 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 23/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D65246 | (02) |