Individual
JEFFREY MICHAEL WHITE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4764 E STATE ROAD 64, BRADENTON, FL 34208-9058
(941) 748-7500
(941) 748-7509
Mailing address
4949 E STATE ROAD 64, # 139, BRADENTON, FL 34208-5530
(941) 748-7500
(941) 748-7509
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME70521
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31896
BC/BS
FL
Enumeration date
06/30/2005
Last updated
07/08/2007
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