White, John A

White, John A is an individual health care provider with primary practice located at 533 N. Clyde Morris Blvd Ste A, Daytona Beach FL 32114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. White, John A can be contacted via phone (386) 255-0901.

Contact Information

Primary practice address
533 N. Clyde Morris Blvd Ste A Daytona Beach FL 32114
Phone: (386) 255-0901
Fax: (386) 255-4454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME 0039128 Florida

Profile Details

NPI number 1053422709
LBN Legal business name White, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 21st, 2009 - about 15 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 1053422709 NPPES
Florida MEDICAID 000887200

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