Individual
DR. JONATHAN I WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 391-1728
(561) 447-9352
Mailing address
951 NW 13TH ST, SUITE 1C, BOCA RATON, FL 33486-2359
(561) 447-9341
(561) 447-9352
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0056143
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035780400
—
FL
01
—
08502
BCBSFL
FL
01
—
300033401
RAILROAD MEDICARE
FL
Enumeration date
05/25/2006
Last updated
05/16/2008
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