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Individual

MR. BENJAMIN DIXON WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, LAT, ATC, PA-C

Contact information

Practice address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181
Mailing address
10503 NW 25TH PL, GAINESVILLE, FL 32606-5137
(352) 363-0226

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL3361
FL
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/10/2018
Last updated
04/10/2024
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