Individual
JAMES P WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12700 CREEKSIDE LN, SUITE 301, FORT MYERS, FL 33919-3356
(239) 432-0774
(239) 432-9404
Mailing address
632 DEL PRADO BLVD N, SUITE 101, CAPE CORAL, FL 33909-2278
(239) 772-5577
(239) 772-9961
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME76902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2552329-00
—
FL
01
—
44520
BCBS
FL
Enumeration date
04/07/2006
Last updated
01/07/2021
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