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Individual

MS. TAKEDA L. WOODS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
221 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5066
(850) 833-9240
(850) 833-9252
Mailing address
221 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5066
(850) 833-9240
(850) 833-9252

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5176631
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NONE
FL
Enumeration date
06/10/2008
Last updated
06/10/2008
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