Individual
JOHN WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3340 LAKELAND HILLS BLVD, LAKELAND, FL 33805-1974
(352) 867-8898
(352) 732-6282
Mailing address
PO BOX 863258, ORLANDO, FL 32886-3258
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME0056404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044741200
—
FL
01
—
08362
BLUE CROSS BLUE SHIELD
FL
01
—
P00017793
RAILROAD MEDICARE
FL
Enumeration date
05/25/2006
Last updated
10/26/2018
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