| Doctor Name: | MR. BRUCE DM WHITE |
| NPI Number: | 1366541773 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | PT14615 |
| Business Practice Address: | 11440 Okeechobee Blvd Suite 103 Royal Palm Beach, FL - 33411 |
| Business Phone Number: | 5617929859 |
| Business Fax Number: | 5617928521 |
| Mailing Address: | 6169 Jog Road, Suite A11 LAKE WORTH |
| State: | FL |
| Postal Code: | 33467 |
| Phone Number: | 5614320111 |
| Fax Number: | 5614321075 |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT14615 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |