Provider Demographics
NPI:1841256534
Name:WHITSON, SANDRA LYNNE (BS DC)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:LYNNE
Last Name:WHITSON
Suffix:
Gender:F
Credentials:BS DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2868 S ALAFAYA TRL STE 110
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7974
Mailing Address - Country:US
Mailing Address - Phone:407-203-2883
Mailing Address - Fax:877-703-2883
Practice Address - Street 1:2868 S ALAFAYA TRL STE 110
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7974
Practice Address - Country:US
Practice Address - Phone:407-203-2883
Practice Address - Fax:877-703-2883
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8627111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88520OtherBCBS
FL88520OtherBCBS
V00923Medicare UPIN