Healthcare Provider Details

I. General information

NPI: 1073672846
Provider Name (Legal Business Name): ROBERT M WHITNEY II DC., N. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 N FEDERAL HWY UNIT 202
HALLANDALE BEACH FL
33009-2400
US

IV. Provider business mailing address

PO BOX 800247
MIAMI FL
33280-0247
US

V. Phone/Fax

Practice location:
  • Phone: 954-458-9898
  • Fax: 800-850-6470
Mailing address:
  • Phone: 954-458-9898
  • Fax: 800-850-6470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberCH4840
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: