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Individual

WILLIAM DAVID WHITTLESEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAA

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(135) 226-5011
Mailing address
14276 NW 161ST AVE, ALACHUA, FL 32615-9206
(904) 705-1008

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
AA1079
FL
367H00000X
Anesthesiologist Assistant
Primary
AA1079
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127713500
FL
Enumeration date
07/23/2025
Last updated
08/11/2025
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