Whitehouse, Jill Suzanne

Whitehouse, Jill Suzanne is an individual health care provider with primary practice located at 1150 N 35Th Ave Suite 555, Hollywood FL 33021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Whitehouse, Jill Suzanne can be contacted via phone (954) 265-0072.

Contact Information

Primary practice address
1150 N 35Th Ave Suite 555 Hollywood FL 33021
Fax: (954) 981-0188
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X ME118990 Florida

Profile Details

NPI number 1467541557
LBN Legal business name Whitehouse, Jill Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Mar 16th, 2021 - about 4 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 1467541557 NPPES
Florida MEDICAID 011813800

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