Individual
DR. CLIFFORD L. WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
408 E HIGHWAY 90, BONIFAY, FL 32425-2731
(850) 547-3402
(850) 547-4113
Mailing address
408 E HIGHWAY 90, BONIFAY, FL 32425-2731
(850) 547-3402
(850) 547-4113
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19796
BLUE CROSS BLUE SHIELD
FL
05
—
620867300
—
FL
Enumeration date
02/05/2007
Last updated
10/17/2008
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