Provider Demographics
NPI:1770835050
Name:WHALEY, RONALD EUGENE (RRT)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:EUGENE
Last Name:WHALEY
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11944 VALENCIA CT
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772-3438
Mailing Address - Country:US
Mailing Address - Phone:727-692-2171
Mailing Address - Fax:
Practice Address - Street 1:11944 VALENCIA CT
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-3438
Practice Address - Country:US
Practice Address - Phone:727-692-2171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT57642279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health