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Individual

WILLIAM SHANE WOODALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
305 S ANDREWS AVE, 601, FT LAUDERDALE, FL 33301-1859
(954) 767-0273
Mailing address
35 VENETIAN WAY, 94, MIAMI BEACH, FL 33139-8806
(305) 989-1135

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9104825
FL

Other

Enumeration date
02/12/2010
Last updated
06/20/2013
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