Provider Demographics
NPI:1346565819
Name:WEINSTEIN, ELAINE CAROL (RRT)
Entity type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:CAROL
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4563 TOWER PINE RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-1589
Mailing Address - Country:US
Mailing Address - Phone:305-206-6200
Mailing Address - Fax:
Practice Address - Street 1:330 10TH STREET SOUTH
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844
Practice Address - Country:US
Practice Address - Phone:863-422-9050
Practice Address - Fax:863-422-9210
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT6280227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered