10D0999427 CLIA NUMBER - DONALD W WHITAKER MD PA

Laboratory Demographics

CLIA Number: 10D0999427

Facility Name: DONALD W WHITAKER MD PA

Facility Address:
924 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547
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Facility Phone Number: 850 863-1000

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1518901479

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	10D0999427
LAB Type	Physician Office
Facility Name	DONALD W WHITAKER MD PA
Street	924 MAR WALT DR
City	FORT WALTON BEACH
State	FL
ZIP	32547
Phone	850 863-1000
CertificateType	3
CertificateEffectiveDate	5/13/2024
CertificateExpirationDate	5/12/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024