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Individual

MR. DARREN S WOODRUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
6508 SMOOTH THORN CT, JACKSONVILLE, FL 32258-5498
(904) 635-0696
Mailing address
6508 SMOOTH THORN CT, JACKSONVILLE, FL 32258-5498
(904) 635-0696

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209-007515
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3287542
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3074692-00
FL
05
323085240A
GA
Enumeration date
03/25/2006
Last updated
07/13/2012
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