Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO-2873 | FL |
Y | 222Z00000X | Podiatrist | PO-2873 | FL |
N | 213EP1101X | Primary Podiatric Medicine | PO2873 | FL |
N | 111NR0200X | Radiology | PO2873 | FL |
N | 213ER0200X | Radiology | PO2873 | FL |
N | 2081S0010X | Sports Medicine | PO2873 | FL |
N | 213ES0000X | Sports Medicine | PO2873 | FL |
N | 213ES0103X | Foot & Ankle Surgery | P02873 | FL |
N | 213ES0131X | Foot Surgery | PO2873 | FL |
NPI | 1821196536 |
---|---|
Provider Name | Dr. Paul Adam Weiner |
First Address | Delray Beach, FL 33446-2162 |
Second Address | Delray Beach, FL 33446-2162 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 05/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
340244400 | (05) | FL |
390218800 | (05) | FL |
480032707 | RR MCR (01) | |
65735 | BC (01) | |
65735 | BCBS (01) | FL |
65735A | BC (01) | |
P00108394 | RR MCR (01) |