Organization
JAY M. WEINSTEIN, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN DURETZ (BILLING MANAGER)
(954) 366-2700
Entity
Organization
Contact information
Practice address
1399 NW 17TH AVE, SUITE 306D, MIAMI, FL 33125-2349
(305) 545-1110
(305) 545-0211
Mailing address
1399 NW 17TH AVE, SUITE 306D, MIAMI, FL 33125-2349
(305) 545-1110
(305) 545-0211
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY3266
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992813125
INDIVIDUAL NPI
FL
Enumeration date
09/04/2008
Last updated
11/14/2012
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