Organization
JOHN D. WOODY, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WOODY MD (MD/PRESIDENT)
(317) 614-9863
Entity
Organization
Contact information
Practice address
3340 LAKELAND HILLS BLVD, LAKELAND, FL 33805-1974
(317) 614-9863
(844) 876-0873
Mailing address
PO BOX 863258, ORLANDO, FL 32886-3258
(855) 496-3581
(844) 876-0873
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273664100
—
FL
01
—
38562
BLUE CROSS BLUE SHIELD
FL
01
—
DD6609
RAILROAD MEDICARE
FL
Enumeration date
05/18/2006
Last updated
10/26/2018
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