Whitaker, Dale A.
Whitaker, Dale A. is an individual health care provider with primary practice located at 8262 Point Meadows Dr Ste 202 , Jacksonville FL 32256-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Whitaker, Dale A. can be contacted via phone (904) 265-4310.Contact Information
Primary practice address
8262 Point Meadows Dr Ste 202
Jacksonville FL 32256-4700
Phone: (904) 265-4310
Fax: (833) 578-1807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME46812 | Florida |
Profile Details
| NPI number | 1326042789 |
|---|---|
| LBN Legal business name | Whitaker, Dale A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Dec 7th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326042789 | NPPES |
| Florida | Other | 010025464 | RAILROAD MEDICARE |
| Florida | MEDICAID | 0428086-00 | RAILROAD MEDICARE |
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