Individual
LATAMIA M WHITE-GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12410 N NEBRASKA AVE, TAMPA, FL 33612-5352
(813) 397-5300
(813) 865-0158
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
(813) 866-0930
(813) 405-3722
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME-93569
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000007535
BLUE CROSS
AL
05
—
003907200
—
FL
01
—
051523805
BLUE CROSS
AL
01
—
051523806
BLUE CROSS
AL
01
—
051523807
BLUE CROSS
AL
01
—
051530813
BC FEDERAL EHBP
AL
01
—
1549813
UBH-BASIC
AL
01
—
1549814
UBH-PLUS
AL
01
—
51528383
BCBS
AL
Enumeration date
07/26/2006
Last updated
02/27/2023
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