Provider Demographics
NPI:1558693697
Name:MARC A. WEINBERG, D.C., P.A.
Entity Type:Organization
Organization Name:MARC A. WEINBERG, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:A
Authorized Official - Last Name:WEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-842-2273
Mailing Address - Street 1:421 NORTHLAKE BLVD
Mailing Address - Street 2:SUITE F
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-5413
Mailing Address - Country:US
Mailing Address - Phone:561-842-2273
Mailing Address - Fax:561-842-1362
Practice Address - Street 1:421 NORTHLAKE BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-5413
Practice Address - Country:US
Practice Address - Phone:561-842-2273
Practice Address - Fax:561-842-1362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-30
Last Update Date:2010-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5775111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty