Healthcare Provider Details

I. General information

NPI: 1003226747
Provider Name (Legal Business Name): DAWN ELIZABETH WHITE NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DAWN ELIZABETH HARDY-WHITE NP-C

II. Dates (important events)

Enumeration Date: 05/03/2014
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3203 W TAMPA BAY BLVD
TAMPA FL
33607-6615
US

IV. Provider business mailing address

3203 W TAMPA BAY BLVD
TAMPA FL
33607-6615
US

V. Phone/Fax

Practice location:
  • Phone: 813-872-4401
  • Fax: 813-872-4814
Mailing address:
  • Phone: 813-872-4401
  • Fax: 813-872-4814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number9295458
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: