Individual
DR. JOHN A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
533 N. CLYDE MORRIS BLVD, STE A, DAYTONA BEACH, FL 32114
(386) 255-0901
(386) 255-4454
Mailing address
533 N. CLYDE MORRIS BLVD, STE A, DAYTONA BEACH, FL 32114
(386) 255-0901
(386) 255-4454
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 0039128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000887200
—
FL
Enumeration date
08/31/2006
Last updated
08/21/2009
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