Provider Demographics
NPI:1053642389
Name:RAYMOND WAYNE WHITTED MD MPH LLC
Entity Type:Organization
Organization Name:RAYMOND WAYNE WHITTED MD MPH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:WHITTED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-596-3744
Mailing Address - Street 1:8740 N. KENDALL DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176
Mailing Address - Country:US
Mailing Address - Phone:305-596-3744
Mailing Address - Fax:305-596-3676
Practice Address - Street 1:8740 N. KENDALL DR
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176
Practice Address - Country:US
Practice Address - Phone:305-596-3744
Practice Address - Fax:305-596-3676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF32226OtherUPIN