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Woodham Family Medical, Llc
Family Nurse Practitioner in Lynn Haven, Florida
NPI 1740665371

Woodham Family Medical, Llc is a Family Nurse Practitioner based in Panama City, FL and is specialized in Family. Woodham Family Medical, Llc practices in Lynn Haven, FL. The NPI Number for Woodham Family Medical, Llc is 1740665371 and holds a License No. (Florida).

The current practice location address for Woodham Family Medical, Llc is 1621 Tennessee Ave, Lynn Haven, FL and can be reached out via phone at 850-872-0774.

Location: 1621 Tennessee Ave, Lynn Haven, FL, 32404-3062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740665371
Provider Name
Woodham Family Medical, Llc
Credential
Provider Entity Type
Organization
Address
1621 Tennessee Ave, Lynn Haven, FL, 32404-3062
Phone Number
850-872-0774
Fax Number
Provider Enumeration Date
07/24/2015
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1073930947 01 NPI
institution
Provider Business Practice Location Address Details
Address
1621 Tennessee Ave
City
Lynn Haven
State
Florida
Zip
32444-3652
Phone Number
850-872-0774
Fax Number
person
Provider Business Mailing Address Details
Address
1621 Tennessee Ave
City
Lynn Haven
State
Florida
Zip
32444-3652
Phone Number
850-872-0774
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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