Individual
MARK WILLIAM WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 MEMORIAL MEDICAL PKWY STE 125, DAYTONA BEACH, FL 32117-5672
(386) 274-0250
(386) 274-0269
Mailing address
11945 SAN JOSE BLVD, STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME75474
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107281
FHCP
FL
01
—
P01102622
RAILROAD MEDICARE
FL
Enumeration date
06/22/2005
Last updated
06/10/2025
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