White, Donald

White, Donald is an individual health care provider with primary practice located at 740 Dunlawton Ave , Port Orange FL 32127-4901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. White, Donald can be contacted via phone (386) 763-1000.

Contact Information

Primary practice address
740 Dunlawton Ave Port Orange FL 32127-4901
Phone: (386) 763-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME41119 Florida

Profile Details

NPI number 1265401095
LBN Legal business name White, Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Feb 23rd, 2011 - about 13 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 1265401095 NPPES
Florida Other P00049836 RAILROAD MEDICARE
Florida Other 79747 RAILROAD MEDICARE
Florida Other VHN RAILROAD MEDICARE
Florida MEDICAID 267877000 RAILROAD MEDICARE

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