Individual
GAYLE E WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
133 BENMORE DR, SUITE 100, WINTER PARK, FL 32792-4111
(407) 644-4883
(407) 644-3697
Mailing address
133 BENMORE DR, SUITE 100, WINTER PARK, FL 32792-4111
(407) 644-4883
(407) 644-3697
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
036109522
IL
207Y00000X
Otolaryngology Physician
Primary
ME80975
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109522
—
IL
Enumeration date
09/21/2005
Last updated
05/23/2016
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