White, Nycole Mari'

White, Nycole Mari' is an individual health care provider with primary practice located at 2340 Glenwood Dr , Winter Park FL 32792-3314. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. White, Nycole Mari' can be contacted via phone (407) 975-0681.

Contact Information

Primary practice address
2340 Glenwood Dr Winter Park FL 32792-3314
Fax: (407) 975-0683
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME82929 Florida

Profile Details

NPI number 1386600344
LBN Legal business name White, Nycole Mari'
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Oct 3rd, 2013 - about 11 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 1386600344 NPPES
Florida MEDICAID 008824000

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