Individual
DR. JUSTIN T WHISENANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6500 38TH AVE N, ST PETERSBURG, FL 33710-1629
(727) 384-1414
(727) 345-8075
Mailing address
909 FROSTWOOD DR STE 1.100, HOUSTON, TX 77024-2301
(713) 338-5519
(713) 704-3086
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2011015524
MO
2085N0700X
Neuroradiology Physician
MD2022-1392
NM
2085N0700X
Neuroradiology Physician
ME128898
FL
2085N0700X
Neuroradiology Physician
N4199
TX
2085R0202X
Diagnostic Radiology Physician
Primary
FW1856371
CO
2085R0204X
Vascular & Interventional Radiology Physician
ME128898
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018604800
—
FL
01
—
M9519
FL HF MEDICARE
FL
Enumeration date
11/09/2007
Last updated
07/03/2025
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