Provider Demographics
NPI:1952627796
Name:WHITE, ALFRED ALFONZO JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:ALFONZO
Last Name:WHITE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2705 W SAINT ISABEL ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6319
Mailing Address - Country:US
Mailing Address - Phone:813-879-5795
Mailing Address - Fax:813-877-4578
Practice Address - Street 1:26846 RIDGEBROOK DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6780
Practice Address - Country:US
Practice Address - Phone:813-803-7779
Practice Address - Fax:813-877-4578
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-19
Last Update Date:2020-07-17
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Provider Licenses
StateLicense IDTaxonomies
FLME126880207WX0107X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist