Elliott Kingman White

NPI #1073243218 in Clewiston, Florida

Provider Information

NPI Number: 1073243218
Entity Type: Individual
Name: Elliott Kingman White
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jun 11, 2022
Last Updated: Nov 16, 2023

Practice Location

Address: 540 W SAGAMORE AVE
City: Clewiston
State: Florida
ZIP Code: 33440-3514
Phone: (863) 983-5026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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