Doctor Name: | MR. PAUL WEINER |
NPI Number: | 1003036633 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CERTIFIED PEDORTHIST |
License Number: | |
Business Practice Address: | 7036 W Palmetto Park Rd Ste 59 Boca Raton, FL - 334333404 |
Business Phone Number: | 5613383838 |
Business Fax Number: | |
Mailing Address: | 7036 W Palmetto Park Rd Ste 59, BOCA RATON |
State: | FL |
Postal Code: | 334333404 |
Phone Number: | 5613383838 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Orthotic Fitter |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |