Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 0102203249 | VA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | OS12709 | FL |
N | 207VX0000X | Obstetrician | 58-001675 | OH |
NPI | 1225249386 |
---|---|
Provider Name | David Robert White |
First Address | Pensacola, FL 32513-2699 |
Second Address | Pensacola, FL 32504-8785 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 14/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1225249386 | (05) | VA |