Individual
DR. HEATHER SAMMONS WHITWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
435 2ND ST NE, NEMOURS CHILDRENS PRIMARY CARE, KINDER CLINIC, WINTER HAVEN, FL 33881-4103
(863) 299-4567
(863) 297-9750
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-4488
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0072535
FL
208D00000X
General Practice Physician
Primary
ME72535
FL
Other
Enumeration date
08/31/2006
Last updated
12/05/2014
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