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NPI Code Detail

MEDICARE: DR. FRANK EDWIN WITTER M.D.

MEDICARE: DR. FRANK EDWIN WITTER M.D.
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
1207R00000XInternal Medicine Physician036949FL

General Provider Information

NPI Number : 1811001332
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK EDWIN WITTER M.D.
Provider Business Mailing Address
First Line : 1270 STOW AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32503-3160
Country : US
Telephone Number : 850-433-0818
Fax Number :
Provider Business Practice Location Address
First Line : 4601 SPANISH TRL
Second Line :
City : PENSACOLA
State : FL
Zip : 32504-5039
Country : US
Telephone Number : 850-432-9224
Fax Number : 850-433-8940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 07/01/2013

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