Individual
IAN MATTHEW WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 SW 160TH AVE STE 250, MIRAMAR, FL 33027-6314
(954) 399-4673
Mailing address
215 ADAMS AVE, CAPE CANAVERAL, FL 32920-2803
(340) 227-1070
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME152571
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113121000
—
FL
Enumeration date
06/13/2013
Last updated
08/24/2023
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