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Contact Information

STACY A WHITE JR, MD
807 CHILDRENS WAY
JACKSONVILLE, FL32207-8426
 Phone: 904-697-3694
 Fax: 904-697-3927
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Radiology

2085P0229X
Indicates primary specialty

NPI Profile & details for STACY A WHITE JR · (Male)

NPI Number 1053750323
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2013
Last updated 08/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME144263
  • PA License # MD465719
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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