Dr. Bonnie K White
MD | Pediatrics | Female
Dr. Bonnie K White, MD is a Ponte Vedra Beach, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Bonnie K White is
1100 Sawgrass Village Dr, Suite 100, Ponte Vedra Beach, Florida - 32082-5048. She can be contacted on phone at
904-285-9355 and fax number 904-285-7442.
Dr. Bonnie K White is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Bonnie K White is
1336146653 which was assigned by NPPES on 01 Jul, 2005 and it was last updated on 17 Apr, 2013.
Dr. Bonnie K White license number is
35062590 for Pediatrics (208000000X) in Ohio.
Dr. Bonnie K White is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Bonnie K White basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Bonnie K White |
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| Credential : | MD |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Bonnie K White address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1100 Sawgrass Village Dr, Suite 100
Ponte Vedra Beach, FL, 32082-5048
United States |
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| Phone Number : | 904-285-9355 |
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| Fax Number : | 904-285-7442 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1336146653 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Jul, 2005 |
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| Last Updated On : | 17 Apr, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bonnie K White are as mentioned. Primary taxonomy code for Dr. Bonnie K White, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | ME99063 | FL |
| 208000000X | Pediatrics | Yes | 35062590 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Bonnie K White such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000127390 | Other | OH | ANTHEM |
| 1006360 | Other | OH | UNITED HEALTHCARE |
| OC07700 | Other | OH | NATIONWIDE HEALTH PLANS |
| R62590 | Other | OH | SUMMA CARE |
| 0859110 | MEDICAID | OH | |
| 1892968001 | Other | OH | CIGNA |
| 4211817 | Other | OH | AETNA |
| 341106740029 | Other | OH | CARESOURCE |
| 53013 | Other | OH | QUAL CHOICE |
| 83307 | Other | OH | PHCS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 6210 Saint Andrews Ct
Ponte Vedra Beach, FL, 32082-2063
United States |
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| Phone Number : | 904-273-8039 |
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Business Location:
Patients can refer following map for directions to
Dr. Bonnie K White practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.