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Individual
MS. AMY L. WHITE
Active
Individual
MS. AMY L. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0003595
MD
363A00000X
Physician Assistant
Primary
PA9110268
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IX911Z
—
FL
01
—
QAVJU
BCBS
FL
Enumeration date
02/27/2006
Last updated
07/21/2022
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