Gerald R Woodard Do PA
NPI #1497166417 in Daytona Beach Shores, Florida
Provider Information
- NPI Number
- 1497166417
- Entity Type
- Organization
- Organization Name
- Gerald R Woodard Do PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC,
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- May 13, 2014
- Last Updated
- May 13, 2014
Practice Location
- Address
- 3512 S ATLANTIC AVE
- State
- Florida
- ZIP Code
- 32118-7639
- Phone
- (386) 767-9544
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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