White, Malcolm A

White, Malcolm A is an individual health care provider with primary practice located at 2120 E Johnson Ave Suite 103, Pensacola FL 32514-6036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. White, Malcolm A can be contacted via phone (850) 494-3965.

Contact Information

Primary practice address
2120 E Johnson Ave Suite 103 Pensacola FL 32514-6036
Phone: (850) 494-3965
Fax: (850) 494-3966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME35996 Florida

Profile Details

NPI number 1427044098
LBN Legal business name White, Malcolm A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Nov 20th, 2013 - about 12 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 1427044098 NPPES
Florida MEDICAID 065069200

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