Individual
EMILY PAIGE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8981 COLONIAL CENTER DR, FORT MYERS, FL 33905-7816
(239) 938-0800
(239) 938-0890
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110645000
—
FL
Enumeration date
10/31/2020
Last updated
10/28/2022
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