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Individual

MARC A WEINSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 972-5055
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 972-5055

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME83022
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
ME83022
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03937
BC/BS
FL
01
200043121
MEDICAID RAILROAD
FL
05
262273900
FL
01
280959
AVMED
FL
01
7389247
AETNA
FL
01
8016259
CIGNA
FL
Enumeration date
07/07/2005
Last updated
10/13/2017
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