Individual
DR. ALFRED ALFONZO WHITE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26846 RIDGEBROOK DR, WESLEY CHAPEL, FL 33544-6780
(813) 803-7779
(813) 877-4578
Mailing address
2705 W SAINT ISABEL ST, TAMPA, FL 33607-6319
(813) 879-5795
(813) 877-4578
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME126880
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME126880
FL
Other
Enumeration date
04/19/2010
Last updated
07/17/2020
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