IndividualActive
Stacy White, M.D.
NPI 1053750323 · Pediatric Radiology Physician · Jacksonville, FL
Provider details
- NPI number
- 1053750323
- Entity type
- Individual
- Primary specialty
- Pediatric Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD465719 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
807 Childrens Way
Jacksonville, FL 32207-8426
Phone: (904) 697-3694
Fax: (904) 697-3927
Approximate (ZIP-level) locationGet directions
Mailing address
10140 Centurion Pkwy N
Jacksonville, FL 32256-0532
Additional practice locations (2)
- 1600 Sw Archer RdGainesville, FL 32610-8426Phone: (352) 265-0291Fax: (352) 265-0279
- 3401 Civic Center BlvdDivision of RadiologyPhiladelphia, PA 19104Phone: (215) 590-1959
Registry dates
- Enumerated
- 2013-06-20
- Last updated
- 2022-08-03
- Certified
- 2022-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.