Individual
NATHAN D. WEIRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
3001 W DR MLK BLVD, TAMPA, FL 33607-6307
(813) 870-4000
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
5458
GA
367H00000X
Anesthesiologist Assistant
941
GA
367H00000X
Anesthesiologist Assistant
Primary
AA29
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
732648776A
—
GA
Enumeration date
09/30/2008
Last updated
01/18/2024
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