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NPI Code Detail

MEDICARE: DR. WALTER PATRICK WHITE M.D.

MEDICARE: DR. WALTER PATRICK 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
12085R0202XDiagnostic Radiology PhysicianME24629FL

General Provider Information

NPI Number : 1760483929
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WALTER PATRICK WHITE M.D.
Provider Business Mailing Address
First Line : 10330 SANDY RUN
Second Line :
City : JUPITER
State : FL
Zip : 33478-9335
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7305 N MILITARY TRL
Second Line :
City : RIVIERA BEACH
State : FL
Zip : 33410-7417
Country : US
Telephone Number : 561-422-6292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/08/2007

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