Individual provider · Type 1 NPI

Chantelle Thandeka White, MD

Student in an Organized Health Care Education/Training Program · Hollywood, FL

NPI number 1639863285 Active

Practice location

1005 Joe Dimaggio Dr
Hollywood, FL 33021-5487

Call (954) 265-5324 Map

Mailing address

10366 E Clairmont Cir
Tamarac, FL 33321-7835

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639863285

Chantelle Thandeka White, MD's National Provider Identifier is 1639863285, issued on Jun 6, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hollywood, FL. The record was last updated on Jun 6, 2023.