Provider Demographics
NPI:1902117138
Name:WHITTINGTON, CORTNEY MARIA (MD)
Entity Type:Individual
Prefix:
First Name:CORTNEY
Middle Name:MARIA
Last Name:WHITTINGTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2888 MAHAN DR STE 6
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5465
Mailing Address - Country:US
Mailing Address - Phone:850-942-2233
Mailing Address - Fax:850-942-1048
Practice Address - Street 1:2888 MAHAN DR STE 6
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5465
Practice Address - Country:US
Practice Address - Phone:850-942-2233
Practice Address - Fax:850-942-1048
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME110869207Q00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine