Individual
DAVID BRADLEY WHITFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 E 6TH CT, PANAMA CITY, FL 32401-3605
(503) 480-2938
Mailing address
4633 THE OAKS DR, MARIANNA, FL 32446-7913
(850) 272-5186
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11012754
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11012754
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MW6458841
MEDICARE AND MEDICAD
FL
Enumeration date
06/30/2021
Last updated
01/20/2022
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