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Organization
RICHARD E WOOD, M.D.
Active
Organization
RICHARD E WOOD, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E WOOD M.D. (PRIMARY DOCTOR)
(904) 213-1776
Entity
Organization
Contact information
Practice address
2575 COUNTY ROAD 220, SUITE 103, MIDDLEBURG, FL 32068-6550
(904) 213-1776
(904) 298-3698
Mailing address
2575 COUNTY ROAD 220, SUITE 103, MIDDLEBURG, FL 32068-6550
(904) 213-1776
(904) 298-3698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME36954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15575
BLUE CROSS BLUE SHIELD
FL
01
—
7047637
CLARENDON HEALTHY KIDS
FL
Enumeration date
02/22/2006
Last updated
08/22/2020
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