Provider Demographics
NPI:1295831360
Name:WEINMAN, VITOR FILIPA (MD)
Entity Type:Individual
Prefix:
First Name:VITOR
Middle Name:FILIPA
Last Name:WEINMAN
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 1:401 CORAL WAY
Mailing Address - Street 2:SUITE 207
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4930
Mailing Address - Country:US
Mailing Address - Phone:305-445-2941
Mailing Address - Fax:305-445-7231
Practice Address - Street 1:401 CORAL WAY
Practice Address - Street 2:SUITE 207
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4930
Practice Address - Country:US
Practice Address - Phone:305-445-2941
Practice Address - Fax:305-445-7231
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL44597207ND0900X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004664700Medicaid
FL96522OtherMEEICARE PROVIDER NUMBER