Weiner, Bruce A

Weiner, Bruce A is an individual health care provider with primary practice located at 7171 N Dale Mabry Hwy , Tampa FL 33614-2630. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Weiner, Bruce A can be contacted via phone (813) 558-8070.

Contact Information

Primary practice address
7171 N Dale Mabry Hwy Tampa FL 33614-2630
Phone: (813) 558-8070
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209020770 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2133502 Florida

Profile Details

NPI number 1720084080
LBN Legal business name Weiner, Bruce A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Oct 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720084080 NPPES
Illinois Other 214881 MEDICARE GROUP PTAN
Illinois MEDICAID 301700100 MEDICARE GROUP PTAN

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