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Individual

DR. DONALD O WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4035 CRESCENT PARK DR, RIVERVIEW, FL 33578-3605
(813) 775-4030
Mailing address
4035 CRESCENT PARK DR, RIVERVIEW, FL 33578-3605

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME40690
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME40690
FL DEPARTMENT OF HEALTH
FL
Enumeration date
06/01/2006
Last updated
09/28/2016
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