Provider Demographics
NPI:1831295690
Name:WEISSMANN & MEHREL MD PA
Entity Type:Organization
Organization Name:WEISSMANN & MEHREL MD PA
Other - Org Name:WEISSMANN & MEHREAL MD PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISSMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-674-9009
Mailing Address - Street 1:400 ARTHUR GODFREY RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3516
Mailing Address - Country:US
Mailing Address - Phone:305-674-9009
Mailing Address - Fax:305-674-9014
Practice Address - Street 1:400 ARTHUR GODFREY RD
Practice Address - Street 2:SUITE 300
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3516
Practice Address - Country:US
Practice Address - Phone:305-674-9009
Practice Address - Fax:305-674-9014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL97489Medicare ID - Type Unspecified