Provider Demographics
NPI:1871586032
Name:WHITE, CYNTHIA JANE (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:JANE
Last Name:WHITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5000 NW 27TH CT
Mailing Address - Street 2:SUITE E
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6593
Mailing Address - Country:US
Mailing Address - Phone:352-338-0397
Mailing Address - Fax:352-372-6787
Practice Address - Street 1:5000 NW 27TH CT
Practice Address - Street 2:SUITE E
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6593
Practice Address - Country:US
Practice Address - Phone:352-338-0397
Practice Address - Fax:352-372-6787
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME00468132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00715919OtherRAILROAD MEDICARE PTAN
FLP00715919OtherRAILROAD MEDICARE PTAN
BW0336900OtherDEA
FL68497AMedicare PIN