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Individual

TAYLOR HAINES WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5100 N 12TH AVE STE 101, PENSACOLA, FL 32504-8919
(850) 208-6130
Mailing address
5100 N 12TH AVE STE 101, PENSACOLA, FL 32504-8919
(850) 208-6130

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9111673
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA9111673
LICENSE NUMBER
FL
Enumeration date
11/26/2018
Last updated
03/23/2026
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