White, Ivan
White, Ivan is an individual health care provider with primary practice located at 15681 N Us Highway 301 , Citra FL 32113-3154. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. White, Ivan can be contacted via phone (352) 595-5000.Contact Information
Primary practice address
15681 N Us Highway 301
Citra FL 32113-3154
Phone: (352) 595-5000
Fax: (352) 595-8431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ADC-006927-2015 | Florida |
Profile Details
| NPI number | 1730614033 |
|---|---|
| LBN Legal business name | White, Ivan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2017 |
| Last updated | Apr 24th, 2017 - about 9 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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