Individual
WAYNE S. WEIDENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 N DIXIE HWY STE 103, WEST PALM BEACH, FL 33401-2715
(561) 833-8093
Mailing address
PO BOX 817737, HOLLYWOOD, FL 33081-1737
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME60443
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME60443
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME60443
FL
Other
Enumeration date
03/09/2006
Last updated
03/04/2019
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