Provider Demographics
NPI:1922304484
Name:WHITNEY ENTERPRISES
Entity Type:Organization
Organization Name:WHITNEY ENTERPRISES
Other - Org Name:WHITNEY HEALTH AND WELLNESS
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:J
Authorized Official - Last Name:POTEET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-785-1600
Mailing Address - Street 1:34911 US HIGHWAY 19 N STE 512
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1966
Mailing Address - Country:US
Mailing Address - Phone:727-785-1600
Mailing Address - Fax:727-674-9207
Practice Address - Street 1:34911 US HIGHWAY 19 N STE 512
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1966
Practice Address - Country:US
Practice Address - Phone:727-785-1600
Practice Address - Fax:727-674-9207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty