institution
Gerald R Woodard Do Pa
Non-Pharmacy Dispensing Site in Daytona Beach Shores, Florida
NPI 1497166417

Gerald R Woodard Do Pa is a Non-Pharmacy Dispensing Site based in San Diego, FL. Gerald R Woodard Do Pa practices in Daytona Beach Shores, FL. The NPI Number for Gerald R Woodard Do Pa is 1497166417 and holds a License No. OS4717 (Florida).

The current practice location address for Gerald R Woodard Do Pa is 3512 S Atlantic Ave, Daytona Beach Shores, FL and can be reached out via phone at 386-767-9544.

Location: 3512 S Atlantic Ave, Daytona Beach Shores, FL, 92121-1705
institution
Provider Profile Details
NPI Number
1497166417
Provider Name
Gerald R Woodard Do Pa
Credential
Provider Entity Type
Organization
Address
3512 S Atlantic Ave, Daytona Beach Shores, FL, 92121-1705
Phone Number
386-767-9544
Fax Number
Provider Enumeration Date
05/13/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3512 S Atlantic Ave
City
State
Zip
32118-7639
Phone Number
386-767-9544
Fax Number
person
Provider Business Mailing Address Details
Address
3512 S Atlantic Ave
City
State
Zip
32118-7639
Phone Number
386-767-9544
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
OS4717 (Florida)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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