Individual
DAVID WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1099 FLORIDA AVE S, ROCKLEDGE, FL 32955-2138
(321) 632-6900
(321) 639-7222
Mailing address
2215 ROCKLEDGE DR, ROCKLEDGE, FL 32955-5403
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME47805
FL
Other
Enumeration date
11/22/2005
Last updated
04/07/2010
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