Individual
DONALD WILLIAM WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
924 MAR WALT DR, FORT WALTON BEACH, FL 32547-6706
(850) 863-1000
(850) 863-0800
Mailing address
PO BOX 2617, FORT WALTON BEACH, FL 32549-2617
(850) 863-1000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME66730
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269406900
—
FL
Enumeration date
06/15/2006
Last updated
07/21/2014
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