Individual
ANDREW WHITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11382 PROSPERITY FARMS RD STE 228, PALM BEACH GARDENS, FL 33410-3463
(561) 253-3980
Mailing address
1617 SE NORTH BLACKWELL DR, PORT SAINT LUCIE, FL 34952-6651
(334) 507-0649
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9112746
FL
Other
Enumeration date
11/17/2019
Last updated
11/17/2019
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