Woeste, John Theodore

Woeste, John Theodore is an individual health care provider with primary practice located at 1375 Roberts Dr Suite 205, Jacksonville Beach FL 32250-3210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Woeste, John Theodore can be contacted via phone (904) 389-1010.

Contact Information

Primary practice address
1375 Roberts Dr Suite 205 Jacksonville Beach FL 32250-3210
Fax: (904) 270-2715
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME64342 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME64342 Florida

Profile Details

NPI number 1881684454
LBN Legal business name Woeste, John Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Mar 24th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881684454 NPPES
Florida MEDICAID 373694600

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