Individual
HAROLD ROBERT WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11406 BALM RIVERVIEW RD, RIVERVIEW, FL 33569-6215
(813) 671-2833
(813) 671-2833
Mailing address
11406 BALM RIVERVIEW RD, RIVERVIEW, FL 33569-6215
(813) 671-2833
(813) 671-2833
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
230490200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230490200
—
FL
Enumeration date
04/30/2008
Last updated
04/30/2008
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