Gerald R Woodard Do PA

NPI #1114111440 in Daytona Beach Shores, Florida

Provider Information

NPI Number: 1114111440
Entity Type: Organization
Organization Name: Gerald R Woodard Do PA
Primary Specialty: Family Medicine
Enumeration Date: Aug 29, 2007
Last Updated: Aug 29, 2007

Practice Location

Address: 3512 S ATLANTIC AVE
City: Daytona Beach Shores
State: Florida
ZIP Code: 32118-7639
Phone: (386) 767-9544

Authorized Official

Name: GERALD R WOODARD
Title: PRESIDENT
Phone: (386) 767-9544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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