Mark William White
Trauma Surgeon
11945 San Jose Blvd. Bldg 300
Jacksonville
, Florida 32223-1627
Mark William White
Trauma Surgeon
11945 San Jose Blvd. Bldg 300
Jacksonville
, Florida 32223-1627
(904) 396-4893
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About
Features
Specialties
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Mark William White
- 11945 San Jose Blvd Ste 300
- Jacksonville, FL
- Zip : 32223-1627
- Fax : (904) 396-4893
- Phone : (904) 396-1725
Second Address
- Mark William White
- 11945 San Jose Blvd. Bldg 300
- Jacksonville, FL
- Zip : 32223-1627
- Fax : (904) 399-1717
- Phone : (904) 396-1725
Reviews
FAQs
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What type of doctor is Mark William White
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Is Mark William White a sole practitioner?
Is Mark William White accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0127X | Trauma Surgeon | ME0075474 | FL |
National Provider Identifier
| NPI | 1477559631 |
|---|---|
| Provider Name | Mark William White |
| First Address | Jacksonville, FL 32223-1627 |
| Second Address | Jacksonville, FL 32223-1627 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2005 |
| Last Update Date | 08/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 107281 | FHCP (01) | FL |
| H40009 | (02) | FL |
| P01102622 | RAILROAD MEDICARE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.