Individual
GREGORY R WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6926 BRIER CREEK CT, BRADENTON, FL 34202-4211
(863) 698-8643
(863) 534-0486
Mailing address
6926 BRIER CREEK CT, BRADENTON, FL 34202-4211
(863) 698-8643
(863) 534-0486
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0039946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067071500
—
FL
01
—
53636
BCBS
FL
Enumeration date
01/18/2006
Last updated
07/25/2007
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