Doctor Name: | CRAIG D. WOODARD |
NPI Number: | 1033198106 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME19338 |
Business Practice Address: | 100 Nw 170th St #303 North Miami Beach, FL - 331695513 |
Business Phone Number: | 3056530050 |
Business Fax Number: | |
Mailing Address: | Po Box 452375, SUNRISE |
State: | FL |
Postal Code: | 333452375 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/17/2006 |
NPI Last Update Date: | 10/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | ME19338 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |