Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | CH4840 | FL |
NPI | 1073672846 |
---|---|
Provider Name | Dr. Robert M Whitney II |
First Address | Miami, FL 33280-0247 |
Second Address | Hallandale Beach, FL 33009-2400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2006 |
Last Update Date | 21/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
050908600 | (05) | FL |
201 | N MD BINGHMAN COUNTY LIC (01) | ID |
CH4840 | DC MEDICINE LICENSE (01) | FL |
NAT1000583 | N MD PHYSICIAN FED LIC. (01) | DC |
T87766 | (02) | FL |