Individual
TABITHA TERRELL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 S PALM AVE, MIRAMAR, FL 33025-5088
(786) 487-7344
Mailing address
2101 S PALM AVE, MIRAMAR, FL 33025-5088
(786) 487-7344
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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