# PREVENTATIVE MEDICINE GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568892800
- **Authorized official:** STEVEN FREDERICK WOODRING DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (239) 877-2951

## Contact information

- **Practice address:** 28901 TRAILS EDGE BLVD, UNIT 103, BONITA SPRINGS, FL 34134-7588
- **Practice address phone:** (239) 877-2951
- **Practice address fax:** (239) 349-2608
- **Mailing address:** 1007 TIVOLI DR, NAPLES, FL 34104-0863
- **Mailing address phone:** (239) 877-2951
- **Mailing address fax:** (239) 349-2608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | OS 10008 | FL | Yes |

## Other

- **Enumeration date:** 11/23/2013
- **Last updated:** 11/23/2013