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:
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Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326042789 NPPES
Florida Other 010025464 RAILROAD MEDICARE
Florida MEDICAID 0428086-00 RAILROAD MEDICARE

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