Individual
PHILLIP WOOD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5153 68TH LN N, ST PETERSBURG, FL 33709-2865
(727) 400-5582
Mailing address
5153 68TH LN N, ST PETERSBURG, FL 33709-2865
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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