Search › Florida › 207RG0100X
Grant Whittaker, M.D
NPI 1073710992 · on the registry since 2007
Practice
- Address
- 1348 South 18th Street
Suite 100
Fernandina Beach, FL 32034 - Phone
- (904) 261-0879
- Fax
- (904) 277-7054
- Organisation at this address
- Lyerly Baptist Inc
Baptist Urology, Inc.
Baptist Ent Specialists Inc
Baptist Pulmonary Services Inc.
Jacksonville Orthopaedic Institute IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207R00000X
207R00000X - Licence states on file
- AL, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida