Provider Demographics
NPI:1972751576
Name:PIANTANIDA-WHITLOCK, ANNE MARIE (MD)
Entity type:Individual
Prefix:
First Name:ANNE MARIE
Middle Name:
Last Name:PIANTANIDA-WHITLOCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNE MARIE
Other - Middle Name:
Other - Last Name:PIANTANIDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 2699
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32513-2699
Mailing Address - Country:US
Mailing Address - Phone:850-475-4500
Mailing Address - Fax:850-475-4781
Practice Address - Street 1:27 MACK BAYOU LOOP
Practice Address - Street 2:SUITE 2000
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-2613
Practice Address - Country:US
Practice Address - Phone:850-267-2961
Practice Address - Fax:850-622-5634
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN13024207V00000X
FLME107226207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology