Individual
JEFFREY DAVID WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8610
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-8610
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G59992
CA
207L00000X
Anesthesiology Physician
Primary
ME97261
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G599920
—
CA
05
—
276896800
—
FL
Enumeration date
06/09/2006
Last updated
01/31/2013
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