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NPI Code Detail

MEDICARE: NEIL P. WHITWAM JR. APRN

MEDICARE: NEIL P. WHITWAM JR. APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPRN2839082FL

General Provider Information

NPI Number : 1548257918
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEIL P. WHITWAM JR. APRN
Provider Business Mailing Address
First Line : 1285 ORANGE AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-4984
Country : US
Telephone Number : 407-647-2287
Fax Number : 407-643-2802
Provider Business Practice Location Address
First Line : 1285 ORANGE AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-4984
Country : US
Telephone Number : 407-647-2287
Fax Number : 407-643-2802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 11/24/2020

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