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DR. GERALD R WOODARD D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1700877388

Individual Registrant:
DR. GERALD R WOODARD D.O.
Gender: M
Sole Proprietor

Location and contact information for practice:
3512 S ATLANTIC AVE  DAYTONA BEACH SHORES, FL 32118-7639 US
Tel: 386-767-9544  Fax: 386-756-0501

Contact information for business:
3512 S ATLANTIC AVE  DAYTONA BEACH SHORES, FL 32118-7639 US
Tel: 386-767-9544  Fax: 386-756-0501

Registration Information:
NPI: 1700877388
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
FLOS4717

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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