Provider Demographics
NPI:1114550423
Name:WHC WPB
Entity Type:Organization
Organization Name:WHC WPB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL VP
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:O'TOOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-512-5514
Mailing Address - Street 1:1685 TARGET CT STE 15
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33905-4926
Mailing Address - Country:US
Mailing Address - Phone:239-265-1891
Mailing Address - Fax:
Practice Address - Street 1:1700 N FLORIDA MANGO RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-5214
Practice Address - Country:US
Practice Address - Phone:561-242-6405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-14
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi