Individual
IAN WHITFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0535
Mailing address
3304 AVENUE P, BROOKLYN, NY 11234-3412
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30460
FL
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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