Healthcare Provider Details

I. General information

NPI: 1922010677
Provider Name (Legal Business Name): SNO E WHITE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SNO ELLEN WHITE

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 NW 10TH AVE # 1140
MIAMI FL
33136-1015
US

IV. Provider business mailing address

1600 NW 10TH AVE # 1140
MIAMI FL
33136-1015
US

V. Phone/Fax

Practice location:
  • Phone: 305-393-2420
  • Fax:
Mailing address:
  • Phone: 305-393-2420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME159712
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: