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Dr. Justin T Whisenant, MD
Neuroradiology Physician in St Petersburg, Florida
NPI 1164602926

Justin T Whisenant is a Neuroradiology Physician based in Houston, FL and is specialized in Neuroradiology. Justin T Whisenant practices in St Petersburg, FL and has the professional credentials of MD. The NPI Number for Justin T Whisenant is 1164602926 and holds a License No. 2011015524 (Florida).

The current practice location address for Justin T Whisenant is 6500 38Th Ave N, St Petersburg, FL and can be reached out via phone at 727-384-1414 and via fax at 727-345-8075. You can also correspond with Justin T Whisenant through the mailing address at 909 FROSTWOOD DR STE 1.100, HOUSTON, TX - 77024-2301 (mailing address contact number: 713-338-5519).

Location: 6500 38Th Ave N, St Petersburg, FL, 77024-2301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164602926
Provider Name
Justin T Whisenant
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6500 38Th Ave N, St Petersburg, FL, 77024-2301
Phone Number
727-384-1414
Fax Number
727-345-8075
Provider Enumeration Date
11/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
018604800 05 FL
M9519 01 FL FL HF MEDICARE
institution
Provider Business Practice Location Address Details
Address
6500 38Th Ave N
City
St Petersburg
State
Florida
Zip
33710-1629
Phone Number
727-384-1414
Fax Number
727-345-8075
person
Provider Business Mailing Address Details
Address
6500 38Th Ave N
City
St Petersburg
State
Florida
Zip
33710-1629
Phone Number
727-384-1414
Fax Number
727-345-8075
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
FW1856371 (Colorado)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD2022-1392 (New Mexico)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
N4199 (Texas)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2011015524 (Missouri)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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