Provider Demographics
NPI:1386614881
Name:HOWARD, WHITNEY HALL
Entity type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:HALL
Last Name:HOWARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2889 GREYSTONE DR
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-8457
Mailing Address - Country:US
Mailing Address - Phone:850-995-4978
Mailing Address - Fax:850-995-4978
Practice Address - Street 1:6000 W HIGHWAY 98
Practice Address - Street 2:NAVHOSP
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32512-0001
Practice Address - Country:US
Practice Address - Phone:850-505-6472
Practice Address - Fax:850-505-6501
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 54429207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine