Individual
CARLOS KEITH WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2120 SARNO RD, MELBOURNE, FL 32935-3084
(321) 241-6800
(321) 241-6890
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME62508
FL
207XS0106X
Orthopaedic Hand Surgery Physician
ME62508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME62508
STATE MEDICAL LICENSE
FL
Enumeration date
07/08/2006
Last updated
08/03/2023
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