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Organization

WHIDDON CONSTRUCTION CO., INC.

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Organization

WHIDDON CONSTRUCTION CO., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROGER D WHIDDON (PRESIDENT)
(386) 754-7367
Entity
Organization

Contact information

Practice address
295 NW COMMONS LOOP, SUITE 115-262, LAKE CITY, FL 32055-7709
(386) 754-7367
(386) 754-7367
Mailing address
295 NW COMMONS LOOP, SUITE 115-262, LAKE CITY, FL 32055-7709
(386) 754-7367
(386) 754-7367

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CRC1328025
FL

Other

Enumeration date
02/12/2014
Last updated
02/12/2014
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