Provider Demographics
NPI:1568488484
Name:WEBER, DANIEL MEIR (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MEIR
Last Name:WEBER
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 1:5885 LAS COLINAS CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-6557
Mailing Address - Country:US
Mailing Address - Phone:561-641-4251
Mailing Address - Fax:
Practice Address - Street 1:23057 STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-5433
Practice Address - Country:US
Practice Address - Phone:561-482-7575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8526111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU70442Medicare UPIN
FLK6698Medicare ID - Type Unspecified