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Organization
WOODLANE MEDICAL LLC
Active
Organization
WOODLANE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GOMEZ (OWNER)
(954) 589-1849
Entity
Organization
Contact information
Practice address
6100 HOLLYWOOD BLVD, STE 510, HOLLYWOOD, FL 33024
(954) 589-1849
(954) 374-7349
Mailing address
6100 HOLLYWOOD BLVD, STE 510, HOLLYWOOD, FL 33024
(954) 589-1849
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
03/07/2019
Last updated
07/27/2020
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