Whitaker, Misty Dawn

Whitaker, Misty Dawn is an sole proprietor health care provider with primary practice located at 21263 33Rd Rd , Lake City FL 32024-2431. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Whitaker, Misty Dawn can be contacted via phone (386) 628-1419.

Contact Information

Primary practice address
21263 33Rd Rd Lake City FL 32024-2431
Phone: (386) 628-1419
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1164762282
LBN Legal business name Whitaker, Misty Dawn
Credentials B.A. DEGREE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2013
Last updated Feb 26th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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