Provider Demographics
NPI:1477232171
Name:WHATEVER IT TAKES MEDICAL, LLC
Entity Type:Organization
Organization Name:WHATEVER IT TAKES MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FUTIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-258-1114
Mailing Address - Street 1:PO BOX 1268
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32170-1268
Mailing Address - Country:US
Mailing Address - Phone:386-222-3932
Mailing Address - Fax:386-213-9981
Practice Address - Street 1:807 E 7TH AVE
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32169-3109
Practice Address - Country:US
Practice Address - Phone:386-222-3932
Practice Address - Fax:386-213-9981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-12
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty