Provider Demographics
NPI:1225328552
Name:ROBERT P C WHITTIER MD PA
Entity Type:Organization
Organization Name:ROBERT P C WHITTIER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P C
Authorized Official - Last Name:WHITTIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-878-2134
Mailing Address - Street 1:1879 PROFESSIONAL PARK CIR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4506
Mailing Address - Country:US
Mailing Address - Phone:850-878-2134
Mailing Address - Fax:850-878-3892
Practice Address - Street 1:1879 PROFESSIONAL PARK CIR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4506
Practice Address - Country:US
Practice Address - Phone:850-878-2134
Practice Address - Fax:850-878-3892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME10852207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty