Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Stacy Allan White Jr., MD

Individual provider Pediatric Radiology Physician · NPI 1053750323

Dr. Stacy Allan White Jr., MD is a Pediatric Radiology Physician in Jacksonville, Florida. Works from 3 locations. Licensed in Florida and Pennsylvania.

Licensed in
FL, PA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

807 Childrens Way
Jacksonville, FL 32207-8426
Phone: (904) 697-3694
Fax: (904) 697-3927
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1600 Sw Archer Rd, Gainesville, FL 32610-8426 — (352) 265-0291
  • 3401 Civic Center Blvd, Philadelphia, PA 19104 — (215) 590-1959

Specialties & licences

Pediatric Radiology Physician (primary) Taxonomy 2085P0229X · Licence ME144263 (FL)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence MD465719 (PA)

Record details

NPI number1053750323
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2013
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022

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