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Individual
MR. KURT T. WOOD
Active
Individual
MR. KURT T. WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3194
FL
363AM0700X
Medical Physician Assistant
PA3194
FL
363AS0400X
Surgical Physician Assistant
PA3194
FL
Other
Enumeration date
07/18/2005
Last updated
03/03/2008
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