Provider Demographics
NPI:1326208463
Name:RM WHITNEY II DABCO LLC
Entity Type:Organization
Organization Name:RM WHITNEY II DABCO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:WHITNEY
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:954-458-9898
Mailing Address - Street 1:PO BOX 800247
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33280-0247
Mailing Address - Country:US
Mailing Address - Phone:954-458-9898
Mailing Address - Fax:
Practice Address - Street 1:1001 N FEDERAL HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2400
Practice Address - Country:US
Practice Address - Phone:954-458-9898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4840111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty