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Individual

JOSHUA WOODIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
463832 SR 200, YULEE, FL 32097-3638
(904) 225-2311
(904) 225-8481
Mailing address
PO BOX 44004, JACKSONVILLE, FL 32231-4004
(904) 376-3707
(904) 225-8481

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002962
GA
363A00000X
Physician Assistant
003429
NY
363A00000X
Physician Assistant
101281
NC
363A00000X
Physician Assistant
Primary
PA3715
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01431327
RAILROAD MEDICARE
FL
Enumeration date
11/24/2006
Last updated
11/20/2015
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