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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013914472 NPPES
Florida MEDICAID 018388500

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