Witham, Nancy

Witham, Nancy is an individual health care provider with primary practice located at 1140 Pratt Blvd , Labelle FL 33935-4405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Witham, Nancy can be contacted via phone (863) 674-4041.

Contact Information

Primary practice address
1140 Pratt Blvd Labelle FL 33935-4405
Phone: (863) 674-4041
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME63344 Florida

Profile Details

NPI number 1770585796
LBN Legal business name Witham, Nancy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 1st, 2021 - about 5 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 1770585796 NPPES
Florida MEDICAID 372339900

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