Individual
MR. MALCOLM A WHITE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2120 E JOHNSON AVE, SUITE 103, PENSACOLA, FL 32514-6036
(850) 494-3965
(850) 494-3966
Mailing address
2120 E JOHNSON AVE, SUITE 103, PENSACOLA, FL 32514-6036
(850) 494-3965
(850) 494-3966
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME35996
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065069200
—
FL
Enumeration date
09/20/2005
Last updated
11/20/2013
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