Provider Demographics
NPI:1821296724
Name:WHITEMAN, STUART H (RPH)
Entity Type:Individual
Prefix:MR
First Name:STUART
Middle Name:H
Last Name:WHITEMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13393 NW 11TH DR
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2934
Mailing Address - Country:US
Mailing Address - Phone:954-846-0622
Mailing Address - Fax:954-944-1895
Practice Address - Street 1:2955 W CORPORATE LAKES BLVD
Practice Address - Street 2:STE 600
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3663
Practice Address - Country:US
Practice Address - Phone:954-660-5555
Practice Address - Fax:954-660-5566
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL146651835G0303X
CA368941835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric