Individual
DONNA MICHELLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17828 NW 16TH ST, PEMBROKE PINES, FL 33029-3701
(954) 885-0475
Mailing address
17828 NW 16TH ST, PEMBROKE PINES, FL 33029-3701
(954) 885-0475
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0T10137
FL
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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