Organization
BRENT H WEINMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT H WEINMAN O.D. (OWNER)
(407) 834-0707
Entity
Organization
Contact information
Practice address
183 E STATE ROAD 436, FERN PARK, FL 32730-2101
(407) 834-0707
(407) 834-0474
Mailing address
183 E STATE ROAD 436, FERN PARK, FL 32730-2101
(407) 834-0707
(407) 834-0474
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084204400
—
FL
Enumeration date
04/24/2012
Last updated
04/24/2012
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