Individual
MR. PAUL WHITTINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8169 VERMANTH RD, JACKSONVILLE, FL 32211-5036
(904) 864-2053
Mailing address
8169 VERMANTH RD, JACKSONVILLE, FL 32211-5036
(904) 864-2053
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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