Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | ME26615 | FL |
NPI | 1760487177 |
---|---|
Provider Name | Dr. Neal J Weinreb |
First Address | Coral Springs, FL 33065-5701 |
Second Address | Coral Springs, FL 33065-5701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 14/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
057877100 | (05) | FL |
B16835 | (02) | FL |