Individual
LINDA LEE WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
20158 CORTEZ BLVD, BROOKSVILLE, FL 34601-3832
(352) 544-2333
(352) 544-2303
Mailing address
12423 DRYSDALE ST, SPRING HILL, FL 34609-4200
(352) 428-0164
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
CRT16587
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16587
DEPARTMENT OF HEALTH
FL
Enumeration date
08/27/2017
Last updated
06/16/2018
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