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NPI Code Detail

MEDICARE: DR. DEAN STANTON WHITE M.D.

MEDICARE: DR. DEAN STANTON WHITE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianME87912FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
179345OTHERFLBC/BS

General Provider Information

NPI Number : 1649296351
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEAN STANTON WHITE M.D.
Provider Business Mailing Address
First Line : 51 TURKEY CRK
Second Line :
City : ALACHUA
State : FL
Zip : 32615-9500
Country : US
Telephone Number : 352-682-4949
Fax Number :
Provider Business Practice Location Address
First Line : 922 E CALL ST
Second Line :
City : STARKE
State : FL
Zip : 32091-3616
Country : US
Telephone Number : 904-964-6260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DEAN STANTON WHITE M.D.” Practice Location

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