Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | PO2281 | FL |
NPI | 1245383470 |
---|---|
Provider Name | Lorraine R Farkas Weissberg |
First Address | Boynton Beach, FL 33472-2420 |
Second Address | Margate, FL 33063-5737 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 26/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
236664 | AVMED (01) | FL |
390236600 | (05) | FL |
480023457 | RAILROAD MEDICARE (01) | FL |
6200707 | GHI (01) | FL |
65354 | BCBS (01) | FL |
U42997 | (02) | FL |