Provider Demographics
NPI:1588818017
Name:WEINGER, MARK ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:ARTHUR
Last Name:WEINGER
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 1:2471 PROVENCE CIR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-1303
Mailing Address - Country:US
Mailing Address - Phone:954-389-3784
Mailing Address - Fax:
Practice Address - Street 1:2471 PROVENCE CIR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33327-1303
Practice Address - Country:US
Practice Address - Phone:954-389-3784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL39413174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist