Mark William White, M.D.
Surgery in Daytona Beach, FL. Individual provider (NPI-1).
NPI number1477559631
StatusActive
Last updated in NPPESJun 10, 2025
Details
- NPI
- 1477559631
- Entity type
- Individual (NPI-1)
- Name
- Mark William White
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2005
- Certification date
- Jun 10, 2025
- Last updated
- Jun 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | ME75474 | FL | Yes |
Practice location
103 Memorial Medical Pkwy Ste 125Daytona Beach, FL 32117-5672
Phone 386-274-0250 · Fax 386-274-0269
Mailing address
11945 San Jose BlvdSte 300
Jacksonville, FL 32223-1627
Phone 904-396-1725 · Fax 904-396-4893
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