Healthcare Provider Details

I. General information

NPI: 1205920139
Provider Name (Legal Business Name): GRAHAM FRANK WHITFIELD MD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 SOUTH CONGRESS AVENUE
WEST PALM BEACH FL
33406
US

IV. Provider business mailing address

2150 SOUTH CONGRESS AVENUE
WEST PALM BEACH FL
33406
US

V. Phone/Fax

Practice location:
  • Phone: 561-965-5200
  • Fax: 561-439-5028
Mailing address:
  • Phone: 561-965-5200
  • Fax: 561-439-5028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME038291
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: