Individual
LEANN MARIE WHITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
(317) 705-5047
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
(317) 705-5047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9111615
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9111615
FL
Other
Enumeration date
09/24/2018
Last updated
09/10/2020
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