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Individual

DR. PATRICIA F WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
159 N 3RD ST, ED FRASER MEMORIAL HOSPITAL, MACCLENNY, FL 32063-2103
(904) 259-3151
Mailing address
159 N 3RD ST, ED FRASER MEMORIAL HOSPITAL, MACCLENNY, FL 32063-2103
(904) 259-3151

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS7929
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13656
BCBS
FL
05
264215800
FL
05
472178415A
GA
Enumeration date
07/17/2006
Last updated
09/19/2013
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