Provider Demographics
NPI:1558724583
Name:WEINREB, MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:WEINREB
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19707 NE 36TH COURT APT 7 H N. TOWER
Mailing Address - Street 2:7 H NORTH TOWER
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180
Mailing Address - Country:US
Mailing Address - Phone:305-710-3801
Mailing Address - Fax:305-933-1911
Practice Address - Street 1:19707 NE 36TH CT APT 7HN
Practice Address - Street 2:7 H NORTH TOWER
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2566
Practice Address - Country:US
Practice Address - Phone:305-710-3801
Practice Address - Fax:305-933-1911
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 3935111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH 3935OtherSTATE LICENSE NUMBER