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Organization

LAURA I WHITE DPM PA

Active
Parent organization
LAURA I. WHITE DPM,PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAURA I. WHITE DPM,PA
Authorized official
LAURA ILONA WHITE DPM (OWNER)
(954) 721-3411
Entity
Organization

Contact information

Practice address
252 S FLAMINGO RD, PEMBROKE PINES, FL 33027
(954) 431-8855
(954) 721-3772
Mailing address
252 S FLAMINGO RD, PEMBROKE PINES, FL 33027-1721

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary

Other

Enumeration date
06/15/2018
Last updated
06/15/2018
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