Provider Demographics
NPI:1790861144
Name:WHITING, JOBYNA (MD)
Entity Type:Individual
Prefix:
First Name:JOBYNA
Middle Name:
Last Name:WHITING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 W GORE ST
Mailing Address - Street 2:SUITE 511
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1114
Mailing Address - Country:US
Mailing Address - Phone:407-423-7172
Mailing Address - Fax:407-423-9505
Practice Address - Street 1:32 W GORE ST
Practice Address - Street 2:SUITE 511
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1114
Practice Address - Country:US
Practice Address - Phone:407-423-7172
Practice Address - Fax:407-423-9505
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2022-07-20
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2008-10-15
Provider Licenses
StateLicense IDTaxonomies
FLTRN5638207T00000X
NJ25MA08655900207T00000X
FLME102824207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBD917ZMedicare PIN