Provider Demographics
NPI:1952523706
Name:WEINFELD-DORY, SIGAL (AP)
Entity Type:Individual
Prefix:
First Name:SIGAL
Middle Name:
Last Name:WEINFELD-DORY
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:SIGAL
Other - Middle Name:ROTH
Other - Last Name:WEINFELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AP
Mailing Address - Street 1:1590 SEMINOLE BLVD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770
Mailing Address - Country:US
Mailing Address - Phone:727-408-2268
Mailing Address - Fax:727-518-2268
Practice Address - Street 1:1590 SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770
Practice Address - Country:US
Practice Address - Phone:727-408-2268
Practice Address - Fax:727-518-2268
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2144171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist