BILLY BLAKE WHITE

LAKELAND, FL
NPI1417715368
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy243U00000X Radiology Practitioner Assistant
(Licence: FL  RA63)
Enumeration Date2024-03-06
Last Update Date2024-03-06
Business Address
MR. BILLY BLAKE WHITE RA (RADIOLOGIST ASS)
1305 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4542
Phone number: 863-688-2334
Mailing Address
MR. BILLY BLAKE WHITE RA (RADIOLOGIST ASS)
412 BAYOU RD
WINTER HAVEN, FL 33884-2507
Phone number: 863-651-7255
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