Individual
MR. CHRISTOPHER M WHIDDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 LONGWOOD AVE FL 32955, ROCKLEDGE, FL 32955-2827
(321) 338-2419
Mailing address
3505 W ROUNDTREE DR, COCOA, FL 32926-8727
(321) 431-6281
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ11571
FL
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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