Provider Demographics
NPI:1144427790
Name:WEINSTEIN, SAUL FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:SAUL
Middle Name:FRANK
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6654 BEATRIX DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32226-3344
Mailing Address - Country:US
Mailing Address - Phone:904-251-3198
Mailing Address - Fax:904-251-3199
Practice Address - Street 1:6654 BEATRIX DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32226-3344
Practice Address - Country:US
Practice Address - Phone:904-251-3198
Practice Address - Fax:904-251-3199
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA057880282N00000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
G-0000300296Medicare ID - Type Unspecified
C28759Medicare UPIN