Provider Demographics
NPI:1255678256
Name:WHITMAN, DANIELE N
Entity Type:Individual
Prefix:MRS
First Name:DANIELE
Middle Name:N
Last Name:WHITMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14851 STATE ROAD 52
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34669-4061
Mailing Address - Country:US
Mailing Address - Phone:727-856-0602
Mailing Address - Fax:727-856-0169
Practice Address - Street 1:14851 STATE ROAD 52
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34669-4061
Practice Address - Country:US
Practice Address - Phone:727-856-0602
Practice Address - Fax:727-856-0169
Is Sole Proprietor?:No
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0028622183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist