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Individual

MARK WEINSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
160 NW 13TH ST, EMERGENCY DEPARTMENT, HOMESTEAD, FL 33030-4228
(786) 243-8000
(904) 346-0113
Mailing address
PO BOX 863997, ORLANDO, FL 32886-3997
(866) 396-6418
(904) 346-0113

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0041755
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
94500
BCBS
FL
01
P00374148
RRMCR
FL
Enumeration date
05/25/2006
Last updated
07/13/2007
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