Organization
A ENRIQUE WHITTWELL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTO ENRIQUE WHITTWELL (PRESIDENT)
(786) 621-3897
Entity
Organization
Contact information
Practice address
8950 N KENDALL DR, STE 304, MIAMI, FL 33176-2144
(786) 621-3897
(305) 675-2788
Mailing address
8950 N KENDALL DR, STE 304, MIAMI, FL 33176-2144
(786) 621-3897
(305) 675-2788
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98566
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/17/2006
Last updated
04/29/2008
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