Individual
MISS AMY WOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
29277 US 19 N, CLEARWATER, FL 33761-2102
(727) 313-4764
Mailing address
29277 US 19 N, CLEARWATER, FL 33761-2102
(727) 313-4764
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
PA9102645
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9102645
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2923696 00
—
FL
01
—
P00290634
RAILROAD MEDICARE
FL
Enumeration date
04/04/2006
Last updated
01/13/2022
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