| Dr Zackary Bryce Whitney, DO | |
|
409 Summit Ridge Pl Apt 107, Longwood, FL 32779-6251 | |
| (435) 215-6012 | |
| Not Available |
| Full Name | Dr Zackary Bryce Whitney |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 409 Summit Ridge Pl Apt 107, Longwood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942763941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 6696 (Florida) | Secondary |
| 207N00000X | Dermatology | OS17969 (Florida) | Primary |
| Entity Name | Leavitt Medical Associates Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083872535 PECOS PAC ID: 4688579311 Enrollment ID: O20050228000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Zackary Bryce Whitney, DO 409 Summit Ridge Pl Apt 107, Longwood, FL 32779-6251 Ph: (435) 215-6012 | Dr Zackary Bryce Whitney, DO 409 Summit Ridge Pl Apt 107, Longwood, FL 32779-6251 Ph: (435) 215-6012 |
Kathleen B Zendell, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 515 W State Road 434, Suite 210, Longwood, FL 32750 Phone: 407-332-8080 | |
Dr. Saqib Ahmed, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 515 W Sr 434 Ste 210, Longwood, FL 32750 Phone: 407-332-8080 Fax: 407-260-0602 |