Individual
DR. NYCOLE MARI' WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2340 GLENWOOD DR, WINTER PARK, FL 32792-3314
(407) 975-0681
(407) 975-0683
Mailing address
2340 GLENWOOD DR, WINTER PARK, FL 32792-3314
(407) 975-0681
(407) 975-0683
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME82929
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008824000
—
FL
Enumeration date
04/26/2006
Last updated
10/03/2013
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