Female

Ms. Marlee M. White PA-C

Medical Physician Assistant in Tampa, FL(View on Map)

Full Name

Ms. Marlee Michelle White PA-C

NPI Number

1487129615

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/03/2018

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida
Pennsylvania

License Number

PA9115314
MA060354

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1289
10740 PALM RIVER RD STE 360

City

Tampa
Tampa

State

FL
FL

Postal Code

33601-1289
33619-4578

Country

US
US

Telephone Number

(813) 844-8927
(813) 844-7585

Identifiers

Identifier

14403290

Identifier State

Unknown

Identifier Issuer

CAQH

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

mwhite256896@direct.tgh.org

Endpoint Description

Unknown

Use

Health Information Exchange (HIE)

Content Type

Unknown

Affiliation

N

Endpoint Location

10740 Palm River Rd Ste 360Tampa, FL336194578US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/02/2023

Provider Address

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