Individual
IRINA WEIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT R, CT, MR
Contact information
Practice address
222 LOS PRADOS DR, SAFETY HARBOR, FL 34695-3332
(941) 243-8600
Mailing address
222 LOS PRADOS DR, SAFETY HARBOR, FL 34695-3332
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
439406
—
2471C3402X
Radiography Radiologic Technologist
439406
—
2471C3402X
Radiography Radiologic Technologist
CRT67903
FL
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
439406
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
439406
ARRT
—
Enumeration date
12/22/2017
Last updated
12/22/2017
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