Individual
DAVID KEVIN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
463832 SR 200, CREDENTIALING DEPARTMENT, YULEE, FL 32097
(904) 225-2311
(904) 225-8481
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME67110
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080162815
RAILROAD MEDICARE
FL
Enumeration date
03/15/2006
Last updated
12/12/2018
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