MEDICARE: WHITAKER,WEINTRAUB & GRIZZARD, MD,PA

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	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CI4733	OTHER	FL	RAILROAD
2	38648	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1699708289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITAKER,WEINTRAUB & GRIZZARD, MD,PA

Provider Business Mailing Address
First Line	:	4108 HENDERSON BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629
Country	:	US
Telephone Number	:	813-289-4410
Fax Number	:	813-247-2949

Provider Business Practice Location Address
First Line	:	4108 HENDERSON BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5750
Country	:	US
Telephone Number	:	813-289-4410
Fax Number	:	813-247-2949

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOE E WHITAKER
Credential	:	MD
Telephone Number	:	813-289-4410

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1821724667 — REYNICA CADET APRN
Practice Location Address:

4120 HENDERSON BLVD
TAMPA, FL
33629-5750

Practice Phone: 813-281-5353
Practice Fax: 813-207-0583

1780609065 — DR. ALAN M WEINTRAUB MD
Practice Location Address:

4108 HENDERSON BLVD
TAMPA, FL
33629-5750

Practice Phone: 813-289-4321
Practice Fax: 813-247-2949

1881613859 — DR. JOE E WHITAKER MD
Practice Location Address:

4108 HENDERSON BLVD
TAMPA, FL
33629-5750

Practice Phone: 813-289-4321
Practice Fax: 813-287-2949

1770593923 — KATHLEEN M. MOSS GRIZZARD MD
Practice Location Address:

4108 HENDERSON BLVD
TAMPA, FL
33629-5750

Practice Phone: 813-289-4321
Practice Fax: 813-287-2949

1164526133 — HOLIDAY CVS LLC
Practice Location Address:

4120 HENDERSON BLVD
TAMPA, FL
33629-5750

Practice Phone: 813-281-5353
Practice Fax: 813-281-5356

1891078861 — PAIN TREATMENT CENTER OF FLORIDA, INC
Practice Location Address:

4106 HENDERSON BLVD
TAMPA, FL
33629-5750

Practice Phone: 813-731-0416
Practice Fax:

Directions to “WHITAKER,WEINTRAUB & GRIZZARD, MD,PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.