Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | ME91428 | FL |
NPI | 1154305514 |
---|---|
Provider Name | Dr. Robert C. Whorf |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Bradenton, FL 34209-5500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 11/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
270720900 | (05) | FL |
H92933 | (02) | FL |
P00171380 | RR MEDICARE (01) | FL |