Provider Demographics
NPI:1467651851
Name:WHITE, APRIL J (LMT/NMT)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:J
Last Name:WHITE
Suffix:
Gender:F
Credentials:LMT/NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 10TH ST
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-2805
Mailing Address - Country:US
Mailing Address - Phone:205-401-5010
Mailing Address - Fax:
Practice Address - Street 1:1230 10TH ST
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-2805
Practice Address - Country:US
Practice Address - Phone:205-401-5010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA48910225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist