Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | ME0033133 | FL |
NPI | 1073516159 |
---|---|
Provider Name | Dr. Samuel S Weinstein |
First Address | Tampa, FL 33606-2707 |
Second Address | Temple Terrace, FL 33637-0935 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 25/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
037278100 | (05) | FL |
D53872 | (02) | |
D53872 | (02) | FL |