Wooley, Duane David
Wooley, Duane David is an individual health care provider with primary practice located at 1600 Sw Archer Rd Box 100371, Gainesville FL 32610-3001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wooley, Duane David can be contacted via phone (352) 265-0301.Contact Information
Primary practice address
1600 Sw Archer Rd Box 100371
Gainesville FL 32610-3001
Phone: (352) 265-0301
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA91021492 | Florida |
Profile Details
NPI number | 1013914472 |
---|---|
LBN Legal business name | Wooley, Duane David |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2005 |
Last updated | Nov 15th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013914472 | NPPES |
Florida | MEDICAID | 018388500 |
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