Individual
AUTUMN L, WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4611 NW 53RD AVE, GAINESVILLE, FL 32653-4898
(352) 371-0301
(352) 371-4635
Mailing address
4611 NW 53RD AVE, GAINESVILLE, FL 32653-4898
(352) 371-0301
(352) 371-4635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104067
FL
Other
Enumeration date
04/15/2009
Last updated
04/07/2017
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