Organization
SMC REHAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD R WOODARD DO (OWNER)
(386) 767-9544
Entity
Organization
Contact information
Practice address
3512 S ATLANTIC AVE, DAYTONA BEACH SHORES, FL 32118-7639
(386) 767-9544
(386) 767-9914
Mailing address
3512 S ATLANTIC AVE, DAYTONA BEACH SHORES, FL 32118-7639
(386) 767-9544
(386) 767-9914
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS4717
FL
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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