Individual
DR. DOUGLAS ERIC WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6610 N UNIVERSITY DR, SUITE 120, TAMARAC, FL 33321-4034
(954) 720-6166
(954) 720-3638
Mailing address
6610 N UNIVERSITY DR, 120, TAMARAC, FL 33321-4034
(954) 720-6166
(954) 720-3638
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME57845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051312100
—
FL
01
—
10488X
MEDICARE PTAN
FL
Enumeration date
08/15/2006
Last updated
05/16/2014
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