Provider Demographics
NPI:1285716290
Name:WEINGROD, CAROL F (MD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:F
Last Name:WEINGROD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 ARTHUR GODFREY RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3342
Mailing Address - Country:US
Mailing Address - Phone:305-861-1050
Mailing Address - Fax:305-538-2359
Practice Address - Street 1:975 ARTHUR GODFREY RD
Practice Address - Street 2:SUITE 303
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3342
Practice Address - Country:US
Practice Address - Phone:305-861-1050
Practice Address - Fax:305-538-2359
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00617122084A0401X, 2084P0800X, 2084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL17849XMedicare ID - Type Unspecified
FLE45957Medicare UPIN