MEDICARE: MR. WILLIAM ROY WHIPPLE A.P.

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
1	171100000X	Acupuncturist	AP1052	FL

General Provider Information

NPI Number	:	1053352682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM ROY WHIPPLE A.P.

Provider Business Mailing Address
First Line	:	234 72ND ST N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33710-7547
Country	:	US
Telephone Number	:	727-345-2900
Fax Number	:	727-209-0959

Provider Business Practice Location Address
First Line	:	2734 CENTRAL AVE
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33712-1153
Country	:	US
Telephone Number	:	727-327-3762
Fax Number	:	727-209-0959

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	07/08/2007

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