Individual
DR. MATTHEW WOODFORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9240 SUNSET DR STE 206, MIAMI, FL 33173-3263
(315) 380-0072
Mailing address
615 SW 147TH AVE, PEMBROKE PINES, FL 33027-6105
(786) 505-2452
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8931
FL
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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