Whitley, Brent J

Whitley, Brent J is an individual health care provider with primary practice located at 5757 N Dixie Hwy , Oakland Park FL 33334-4135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Whitley, Brent J can be contacted via phone (954) 776-6000.

Contact Information

Primary practice address
5757 N Dixie Hwy Oakland Park FL 33334-4135
Phone: (954) 776-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME67493 Florida

Profile Details

NPI number 1609870682
LBN Legal business name Whitley, Brent J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Apr 7th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609870682 NPPES
Florida Other 26888 BCBS
Florida Other 080072358 BCBS
Florida MEDICAID 378096100 BCBS

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