# WHIDDON CONSTRUCTION CO., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891119707
- **Authorized official:** ROGER D WHIDDON (PRESIDENT)
- **Authorized official phone:** (386) 754-7367

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | CRC1328025 | FL | Yes |

## Other

- **Enumeration date:** 02/12/2014
- **Last updated:** 02/12/2014