Individual
MR. JOHN MICHAEL WILLIAM WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
(407) 894-7136
Mailing address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
(407) 894-7136
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9173076
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y9943
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/25/2007
Last updated
10/08/2020
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