Mark William White in Jacksonville - Trauma Surgery
Mark William White - NPI 1477559631
Mark William White is a Trauma Surgery in Jacksonville, Florida. Mark William White practices all healthcare services and medical treatments related to Trauma Surgery. The NPI Number for Mark William White is 1477559631. The last update date is 2020-09-08.
Mark William White's current location address is 11945 San Jose Blvd, Jacksonville, Florida. You can contact this provider via phone number 9043961725 and fax number 9043964893. The mailing address for Mark William White is 11945 San Jose Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark William White |
|---|---|
| Address | 11945 San Jose Blvd, Jacksonville, Florida |
| Phone Number | 9043961725 |
| Fax Number | 9043964893 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477559631 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2020-09-08 |
Provider Mailing Address Detail
| Address | 11945 San Jose Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322231627 |
| Phone Number | 9043961725 |
| Fax Number | 9043964893 |
Provider's Primary Taxonomy Detail
| Speciality | Trauma Surgery |
|---|---|
| Taxonomy | 2086S0127X |
| Licence No | ME0075474 |
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Definition: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, ty |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 107281 | FL | FHCP | |
| P01102622 | FL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark William White by the Centers for Medicare & Medicaid Services?
The Mark William White has been assigned the NPI (National Provider Identifier) 1477559631 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Mark William White is located?
The Mark William White is situated at the following address: 11945 San Jose Blvd, Jacksonville, FL, 322231627.
What is Mark William White's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark William White is Trauma Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0127X.
On what date was the 1477559631 assigned to Mark William White?
The Mark William White was issued its 1477559631 on 2005-06-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mark William White, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark William White, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-09-08.