Individual
BENJAMIN C WHITED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 PINELLAS ST, CLEARWATER, FL 33756-3804
(727) 461-8537
Mailing address
PO BOX 17308, CLEARWATER, FL 33762-0308
(904) 482-1070
(904) 482-1077
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
059119
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16723
BLUE SHIELD OF FL
FL
05
—
273169000
—
FL
Enumeration date
06/04/2006
Last updated
01/21/2011
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