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

Mr. Billy Blake White III, RARADIOLOGISTASS

Individual provider Radiology Practitioner Assistant · NPI 1417715368

Mr. Billy Blake White III, RARADIOLOGISTASS is a Radiology Practitioner Assistant in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542
Phone: (863) 688-2334
Show map & directions

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

Specialties & licences

Radiology Practitioner Assistant (primary) Taxonomy 243U00000X · Licence RA63 (FL)

Record details

NPI number1417715368
Entity typeIndividual (Type 1)
GenderMale
Credentials RARADIOLOGISTASS
Sole proprietorNo
NPI enumeratedMarch 6, 2024
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024

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