Provider Demographics
NPI:1710063722
Name:WHITING, WILLIAM LEE (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:LEE
Last Name:WHITING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6043 VALHALLA AVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-4689
Mailing Address - Country:US
Mailing Address - Phone:757-641-4069
Mailing Address - Fax:
Practice Address - Street 1:1101 GULF BREEZE PKWY UNIT 13
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-4862
Practice Address - Country:US
Practice Address - Phone:850-565-5074
Practice Address - Fax:850-565-5250
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01022019292084P0800X
TXP83232084P0800X
FLOS131322084P0805X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry