Individual
DR. AUGUSTO ENRIQUE WHITTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6705 S RED RD, SUITE 416, SOUTH MIAMI, FL 33143-3622
(305) 665-0100
(305) 665-0149
Mailing address
6705 S RED RD, SUITE 416, SOUTH MIAMI, FL 33143-3622
(305) 665-0100
(305) 665-0149
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME41757
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02808
BLUE CROSS BLUE SHIELD
FL
01
—
04735
NHP
FL
01
—
20220171
BEECH STREET
FL
01
—
24735
HEALTHEASE
FL
01
—
285407
AVMED
FL
01
—
3973039
CIGNA
FL
01
—
4676858
AETNA
FL
01
—
532025
FIRST HEALTH
FL
Enumeration date
05/11/2006
Last updated
06/30/2021
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