White, Dexter

White, Dexter is an sole proprietor health care provider with primary practice located at 143 Iron Bridge Rd , Havana FL 32333-5711. He recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Homemaker is his primary health care specialty. White, Dexter can be contacted via phone (850) 345-1044.

Contact Information

Primary practice address
143 Iron Bridge Rd Havana FL 32333-5711
Phone: (850) 345-1044
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1649996406
LBN Legal business name White, Dexter
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2022
Last updated Oct 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649996406 NPPES
Florida Other NA NONE

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