Elliott Kingman White
Elliott Kingman White is a Physician Assistant in Clewiston, Florida. Qualified in 2022, 4 years ago. Practices with Hendry County Hospital Authority, a 17-clinician group. Licensed in Florida.
- Years since qualifying
- 4
- Licensed in
- FL
- In the registry since
- 2022
Practice location Address checks out
540 W Sagamore AveClewiston, FL 33440-3514
Phone: (863) 983-5026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA9116146 (FL) |
|---|
Record details
| NPI number | 1073243218 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 11, 2022 |
| Last updated in NPPES | November 16, 2023 |
| Certification date | September 21, 2023 |
| Mailing address | 928 Sawgrass St, Clewiston, FL 33440-0210 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Hendry County Hospital Authority — 17 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 6 on file with Medicare |
Other providers in Clewiston
-
Mr. Julio B Lopez, PA-C
315 S W C Owens Ave, Clewiston, FL 33440-3637 · (863) 983-7813
-
Christine Ann Ostroski, PA-C
301 S Gloria St, Clewiston, FL 33440-3520 · (872) 231-3162