Individual
TARA WOODINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 334-1340
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 334-1340
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9320882
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015910500
—
FL
Enumeration date
10/14/2015
Last updated
01/08/2016
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