Individual
CHRISTOPHER MARK WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
125 4TH AVE NE, ST PETERSBURG, FL 33701-3401
(727) 585-8591
Mailing address
1130 COMMERCIAL WAY, SPRING HILL, FL 34606-4518
(727) 585-8591
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS20881
FL
207ND0101X
MOHS-Micrographic Surgery Physician
OS20881
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS20881
STATE LICENSE
FL
Enumeration date
04/07/2017
Last updated
10/21/2024
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