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Organization
WHITAKER,WEINTRAUB & GRIZZARD, MD,PA
Active
Organization
WHITAKER,WEINTRAUB & GRIZZARD, MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE E WHITAKER MD (OWNER)
(813) 289-4410
Entity
Organization
Contact information
Practice address
4108 HENDERSON BLVD, TAMPA, FL 33629-5750
(813) 289-4410
(813) 247-2949
Mailing address
4108 HENDERSON BLVD, TAMPA, FL 33629
(813) 289-4410
(813) 247-2949
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38648
BCBS
FL
01
—
CI4733
RAILROAD
FL
Enumeration date
07/08/2006
Last updated
08/22/2020
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