Provider Demographics
NPI:1518952936
Name:WEINGRAD, DANIEL N (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:N
Last Name:WEINGRAD
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 1:21110 BISCAYNE BLVD,
Mailing Address - Street 2:SUITE 400
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180
Mailing Address - Country:US
Mailing Address - Phone:305-918-7050
Mailing Address - Fax:305-918-7051
Practice Address - Street 1:21110 BISCAYNE BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1227
Practice Address - Country:US
Practice Address - Phone:305-918-7050
Practice Address - Fax:305-918-7051
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00382892086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL18706OtherWELLCARE PROVIDER NUMBER
FL4072736OtherAETNA PROVIDER NUMBER
FL000QQOtherPREF. CR. PRTN. PROV. #
FL005372OtherAVMED PROVIDER NUMBER
FL0916OtherDIMENSION HLTH. PROV. #
FLP00363OtherDOC. CR. THRU PMG PROV. #
FL24513OtherFIRST HEALTH PROVIDER #
FL95696OtherBCBS PROVIDER NUMBER
FL57553OtherUSA MNGD. CARE PROV. #
FL5033956OtherCCN PROVIDER NUMBER
FL271455800Medicaid
FL0758569-006OtherCIGNA PROVIDER NUMBER
FL0916OtherDIMENSION HLTH. PROV. #
FL5033956OtherCCN PROVIDER NUMBER