Woody, John
Woody, John is an individual health care provider with primary practice located at 3340 Lakeland Hills Blvd , Lakeland FL 33805-1974. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Woody, John can be contacted via phone (352) 867-8898.Contact Information
Primary practice address
3340 Lakeland Hills Blvd
Lakeland FL 33805-1974
Phone: (352) 867-8898
Fax: (352) 732-6282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME0056404 | Florida |
Profile Details
| NPI number | 1972559847 |
|---|---|
| LBN Legal business name | Woody, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Oct 26th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972559847 | NPPES |
| Florida | MEDICAID | 044741200 | |
| Florida | Other | 08362 | |
| Florida | Other | P00017793 |
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