Healthcare Provider Details

I. General information

NPI: 1245299098
Provider Name (Legal Business Name): AUTHRINE CHEVANNE WHYTE MD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11140 W COLONIAL DR STE 1
OCOEE FL
34761-3300
US

IV. Provider business mailing address

11140 W COLONIAL DR STE 1
OCOEE FL
34761-3300
US

V. Phone/Fax

Practice location:
  • Phone: 407-877-6500
  • Fax: 321-203-4612
Mailing address:
  • Phone: 407-877-6500
  • Fax: 321-203-4612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA90434
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME90864
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: