Wiener, Edward L

Wiener, Edward L is an sole proprietor health care provider with primary practice located at 21110 Biscayne Blvd Suite 400 , Aventura FL 33180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wiener, Edward L can be contacted via phone (305) 933-8622.

Contact Information

Primary practice address
21110 Biscayne Blvd Suite 400 Aventura FL 33180
Phone: (305) 933-8622
Fax: (305) 682-8430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS3845 Florida

Profile Details

NPI number 1184692667
LBN Legal business name Wiener, Edward L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated Sep 12th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184692667 NPPES
Florida Other 82412 BLUECROSS BLUESHIELD
Florida MEDICAID 064580000 BLUECROSS BLUESHIELD

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