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Organization

GERALD R WOODARD DO PA

Active
Other names
SHORES MEDICAL CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
GERALD R WOODARD (PRESIDENT)
(386) 767-9544
Entity
Organization

Contact information

Practice address
3512 S ATLANTIC AVE, DAYTONA BEACH SHORES, FL 32118-7639
(386) 767-9544
(386) 756-0501
Mailing address
3512 S ATLANTIC AVE, DAYTONA BEACH SHORES, FL 32118-7639
(386) 767-9544
(386) 756-0501

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS4717
FL

Other

Enumeration date
08/29/2007
Last updated
08/29/2007
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