Provider Demographics
NPI:1053352682
Name:WHIPPLE, WILLIAM ROY (AP)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ROY
Last Name:WHIPPLE
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 72ND ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-7547
Mailing Address - Country:US
Mailing Address - Phone:727-345-2900
Mailing Address - Fax:727-209-0959
Practice Address - Street 1:2734 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-1153
Practice Address - Country:US
Practice Address - Phone:727-327-3762
Practice Address - Fax:727-209-0959
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1052171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist