Organization
DONALD W WHITAKER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD W WHITAKER M.D. (PRESIDENT)
(850) 855-6707
Entity
Organization
Contact information
Practice address
924 MAR WALT DR, FORT WALTON BEACH, FL 32547-6706
(850) 863-1000
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
Enumeration date
03/09/2010
Last updated
07/22/2014
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