White, Deborah Susan

White, Deborah Susan is an individual health care provider with primary practice located at 12780 Race Track Rd Ste 300, Tampa FL 33626-1395. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. White, Deborah Susan can be contacted via phone (813) 792-9541.

Contact Information

Primary practice address
12780 Race Track Rd Ste 300 Tampa FL 33626-1395
Phone: (813) 792-9541
Fax: (813) 443-8170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME80789 Florida

Profile Details

NPI number 1437155603
LBN Legal business name White, Deborah Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Oct 29th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437155603 NPPES
Florida MEDICAID 259670900

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