Individual
DR. ALICIA L. WOOLDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
202 LAKE MIRIAM DR STE E4, LAKELAND, FL 33813-2198
(863) 225-3355
(863) 473-9191
Mailing address
202 LAKE MIRIAM DR STE E4, LAKELAND, FL 33813-2198
(863) 225-3355
(863) 473-9191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27123
OK
207Q00000X
Family Medicine Physician
Primary
ME150155
FL
207Q00000X
Family Medicine Physician
P4233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320647603
—
TX
Enumeration date
05/06/2009
Last updated
02/18/2022
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