Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | WHITE, WAYNE · Wayne T. White | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Wayne | [sources] | |||
ID Number | PS20751 | [sources] | |||
Last name | White | [sources] | |||
Middle name | T. | [sources] | |||
NPI | 1366717514 | [sources] | |||
Sector | RPH | [sources] | |||
Title | RPh | [sources] | |||
Address | (FL), (FL) · 11001 NORTHWEST 17TH, AVENUE, MIAMI, FL 33167 | [sources] | |||
Last change | Last processed | First seen |
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-medpa-813edefe6ae3f3ad890602f57708382839fdd900
· us-mednj-09173e550d46b83d3991d1f9850ec2c21d8b92f9
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | New Jersey Office of the State Comptroller | - |
Address | ||
---|---|---|
Full address | Country | |
11001 NORTHWEST 17TH, AVENUE, MIAMI, FL 33167 | United States of America |
United States of America | Department of Human Services | - | - |
(FL), (FL) · (FL.), (FL.) · FL, FL | United States of America |