Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME19337 | FL |
NPI | 1225076094 |
---|---|
Provider Name | Ronald P White |
First Address | Sarasota, FL 34232-6028 |
Second Address | Sarasota, FL 34232-6028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 06/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D58355 | (02) | FL |