Provider Demographics
NPI:1487889333
Name:WHITE, BRIAN DONALD (MD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:DONALD
Last Name:WHITE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 N ORANGE AVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-1026
Mailing Address - Country:US
Mailing Address - Phone:407-841-2100
Mailing Address - Fax:407-841-5705
Practice Address - Street 1:801 N ORANGE AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-1026
Practice Address - Country:US
Practice Address - Phone:407-841-2100
Practice Address - Fax:407-841-5705
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME113490207XS0106X, 2086S0105X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery