Provider Demographics
NPI:1114012333
Name:WEINBERG, MARC K (DC)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:K
Last Name:WEINBERG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16100 NE 16TH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4708
Mailing Address - Country:US
Mailing Address - Phone:305-949-5999
Mailing Address - Fax:
Practice Address - Street 1:16100 NE 16TH AVE STE B
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4708
Practice Address - Country:US
Practice Address - Phone:305-949-5999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 6619111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380397000Medicaid
FLU 44215Medicare UPIN
FL22917Medicare UPIN