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Individual

JOHN THEODORE WOESTE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
232 PONTE VEDRA PARK DR, PONTE VEDRA BEACH, FL 32082-6600
(904) 634-0640
(904) 634-0203
Mailing address
232 PONTE VEDRA PARK DR, PONTE VEDRA BEACH, FL 32082-6600
(904) 634-0640
(904) 634-0203

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME64342
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME64342
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
373694600
FL
Enumeration date
10/25/2005
Last updated
04/29/2025
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