Michael Wein Md Pa | |
3375 20th St Suite 140 Vero Beach FL 32960-2427 | |
(772) 299-7299 | |
(772) 563-9191 |
Full Name | Michael Wein Md Pa |
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Speciality | Clinic/Center |
Location | 3375 20th St, Vero Beach, Florida |
Authorized Official Name and Position | Michael Wein (CEO) |
Authorized Official Contact | 7722997299 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michael Wein Md Pa 3375 20th St Suite 140 Vero Beach FL 32960-2427 Ph: (772) 299-7299 | Michael Wein Md Pa 3375 20th St Suite 140 Vero Beach FL 32960-2427 Ph: (772) 299-7299 |
NPI Number | 1063728822 |
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Provider Enumeration Date | 08/31/2010 |
Last Update Date | 08/31/2010 |
Medicare PECOS PAC ID | 3173716180 |
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Medicare Enrollment ID | O20101022000786 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063728822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | ME0066191 (Florida) | Primary |
Provider Name | Michael Barry Wein |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1336218650 PECOS PAC ID: 8325231343 Enrollment ID: I20101022000820 |
Provider Name | Jessica Lynn Rogalny |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508558248 PECOS PAC ID: 9931562147 Enrollment ID: I20230905003062 |
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