Individual
DR. GRANT CECIL WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
653 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 383-1015
(904) 244-7131
Mailing address
653 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 383-1015
(904) 244-7131
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
UO5941
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2018
Last updated
10/19/2019
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