Provider Demographics
NPI:1235575200
Name:WEIL, ALEXANDER G (MD)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:G
Last Name:WEIL
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 1:3100 SW 62 AVE. STE. 3109, AMBULATORY BUILDING
Mailing Address - Street 2:MIAMI CHILDREN'S HOSPITAL, PEDIATRIC NEUROSURGERY
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3009
Mailing Address - Country:US
Mailing Address - Phone:305-662-8386
Mailing Address - Fax:305-663-8490
Practice Address - Street 1:3100 SW 62 AVE.; STE. 3109
Practice Address - Street 2:MIAMI CHILDREN'S HOSPITAL
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3009
Practice Address - Country:US
Practice Address - Phone:305-662-8386
Practice Address - Fax:305-663-8490
Is Sole Proprietor?:No
Enumeration Date:2013-05-17
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program