Individual
MR. ANTHONY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2220 SAINT CHARLES DR, CLEARWATER, FL 33764-4942
(727) 269-1082
Mailing address
2220 SAINT CHARLES DR, CLEARWATER, FL 33764-4942
(727) 269-1082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
23720
FL
2251G0304X
Geriatric Physical Therapist
Primary
20741
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23720
FLORIDA STATE PT LICENSE
FL
01
—
616514
BC BS
MD
Enumeration date
02/13/2007
Last updated
04/05/2016
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