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Individual

DAVID M WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME101069
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001446900
FL
01
146N6
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/26/2007
Last updated
06/22/2022
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