Individual
MRS. CAROLYN ELIZABETH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7169 HEMLOCK LOOP, OCALA, FL 34472-2176
(352) 687-0148
(352) 687-0213
Mailing address
7169 HEMLOCK LOOP, OCALA, FL 34472-2176
(352) 687-0148
(352) 687-0213
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W300-105-48-751-0
FLORIDA DRIVER LIC NUMBER
FL
Enumeration date
02/13/2019
Last updated
02/13/2019
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