Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME113490 | FL |
Y | 207XS0106X | Orthopaedic Hand Surgeon | ME113490 | FL |
N | 2086S0105X | Surgery of the Hand | ME113490 | FL |
NPI | 1487889333 |
---|---|
Provider Name | Brian Donald White |
First Address | Orlando, FL 32801-1026 |
Second Address | Orlando, FL 32801-1026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2009 |
Last Update Date | 25/11/2015 |