Provider Demographics
NPI:1164662201
Name:WEINBERG, DAVID NEAL (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:NEAL
Last Name:WEINBERG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 16TH LN
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-4360
Mailing Address - Country:US
Mailing Address - Phone:561-290-8004
Mailing Address - Fax:
Practice Address - Street 1:1613 16TH LN
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-4360
Practice Address - Country:US
Practice Address - Phone:561-290-8004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2011-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 28649183500000X
SC008372183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist