White, Mark William

White, Mark William is an individual health care provider with primary practice located at 11945 San Jose Blvd. Bldg 300, Jacksonville FL 32223-1627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Trauma Surgery, which is considered as his primary health care specialty. White, Mark William can be contacted via phone (904) 396-1725.

Contact Information

Primary practice address
11945 San Jose Blvd. Bldg 300 Jacksonville FL 32223-1627
Phone: (904) 396-1725
Fax: (904) 399-1717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X ME0075474 Florida

Profile Details

NPI number 1477559631
LBN Legal business name White, Mark William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Sep 8th, 2020 - about 6 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 1477559631 NPPES
Florida Other 107281 FHCP
Florida Other P01102622 FHCP

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